Construction Defect Adjuster

Sedgwick•Gates, OR

About The Position

Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims involving complex coverage, liability, damages, evidence, and other legal issues while providing an exceptional customer experience. The role investigates and evaluates coverage, liability, and damages, manages litigation and defense counsel, and develops effective plans to resolve claims while controlling indemnity and expense leakage. It also evaluates coverage, drafts coverage letters, and maintains appropriate reserves on pending claims. Travel is required as needed.

Requirements

Eight years of related experience, including personal lines claims experience, evaluating coverage, and drafting coverage letters such as reservation-of-rights letters and coverage denials, or an equivalent combination of education and experience.
State-mandated adjusting licenses as required.
Knowledge of tort theories, legal concepts, negotiation strategies, and litigation management.
Excellent oral and written communication skills, including presentation skills.
Computer literacy, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Excellent interpersonal and negotiating skills.
Ability to create and complete comprehensive, accurate, and constructive written reports.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.
Ability to handle work-related stress, multiple priorities, and deadlines.
Ability to perform computer keyboarding and meet the role's hearing, vision, and talking demands.

Nice To Haves

Bachelor's degree from an accredited college or university.
Insurance designations such as CPCU, AIC, or ARM.
Experience with commercial lines claims and litigation in multiple states.
Exposure to and knowledge of the affluent market segment.

Responsibilities

Adjust claims arising under automobile, homeowner, and excess liability policies.
Develop exposures and evaluate injury claims based on damages, the insurance contract, company policies, and applicable state laws.
Investigate and evaluate coverage, liability, and damages for claims involving serious or catastrophic injuries, coverage issues, and other legal issues.
Refer suits to counsel in a timely manner and evaluate changes in exposure throughout discovery, considering costs and strategic plans for trial preparation or settlement.
Manage defense counsel in litigation involving serious and complex claims, litigated claims, and complex coverage scenarios.
Formulate effective plans to resolve claims while focusing on indemnity and expense leakage.
Evaluate coverage and draft coverage letters, including reservation-of-rights letters and coverage denials.
Maintain proper reserves on pending claims.
Perform other duties as assigned.
Travel as required.