General Liability Adjuster

Sedgwick•Telecommuter FL, FL

About The Position

Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

Requirements

Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required.
State mandated adjusting licenses as required.

Nice To Haves

Bachelor's degree from an accredited college or university preferred.
Insurance designations such as CPCU, AIC, ARM preferred.
Experience with commercial lines claims and litigation in multiple states preferred.
Exposure to and knowledge of affluent market segment
Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent 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

Responsibilities

Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies.
Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.
Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
Maintains proper reserves on all pending claims.
Performs other duties as assigned.
Travel as required