Complex Commercial General Liability Claims Adjuster
WCF Insurance•Sandy, OR
•$89,100 - $111,300•Hybrid
About The Position
The Complex Commercial General Liability Claims Adjuster is a full-time, exempt position reporting to the Manager, Commercial Liability Claims. This role investigates, documents, and determines coverage and liability for high-exposure, complex, and litigated commercial general liability. The adjuster manages claims through resolution, collaborates with defense counsel and other stakeholders, and supports effective claim outcomes consistent with company policies and regulatory requirements. This position is on WCF's Commercial General Liability team.
Requirements
- Bachelor’s degree or AIC designation.
- At least 5 years of experience handling complex claims and litigation in commercial insurance.
- Advanced understanding of state-specific unfair claims practices regulations, policy contracts, and commercial insurance principles.
- Strong knowledge of tort law, insurance coverage, litigation procedures, and negotiation strategies.
- Knowledge of general liability coverage and related insurance principles.
- Ability to interpret medical records, accident reconstruction reports, and legal filings.
- Strong understanding of medical, automotive, and liability terminology and concepts.
- Ability to communicate effectively, both orally and in writing.
- Exceptional organizational, time management, and decision-making skills.
- Ability to obtain and maintain the appropriate insurance adjuster license(s), including any licenses required in states of operation if not already held.
Nice To Haves
- Experience with construction liability, D&O, and E&O claims is a plus.
Responsibilities
- Manage a caseload of complex bodily injury claims, including those involving catastrophic injuries and fatalities.
- Conduct thorough investigations, including reviewing police reports, medical records, expert evaluations, and witness statements.
- Assess liability, damages, and coverage to make strategic claim decisions.
- Collaborate with legal counsel in litigation management, including attending mediations, depositions, and trials as necessary.
- Evaluate and negotiate settlements within authority limits while balancing cost efficiency and claim resolution.
- Communicate effectively with policyholders, claimants, attorneys, and other involved parties.
- Ensure compliance with company policies, regulatory requirements, and best practices.
- Provide recommendations on reserve adjustments based on claim developments.
- Work with internal teams, including underwriting, product, and legal, to provide feedback on loss trends and potential risk factors.
- May act as a department trainer regarding the handling of complex injury claims and the litigation process.
Benefits
- Medical, dental, and vision insurance.
- Company paid life insurance
- 401K with a generous 6% employer match
- Employee Assistance Program (EAP)
- Time off to volunteer in the local community
- All employees earn 4 weeks of vacation their first year.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
