Liability Adjuster

Capstone ISG Inc•Virginia Beach, VA

About The Position

Primary Responsibilities: Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable statutes and case law. Coverage interpretation will be for personal and commercial lines policies. Possesses in-depth knowledge of multi-jurisdictional claims handling issues. Conducts interviews of all involved parties as requested by client. Interviews will be done by telephone or in-person. Statements may be recorded or written. Completes investigations by obtaining and reviewing police and other official reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage. Obtains medical authorizations to secure records and bills to evaluate injury claims. Analyzes injury information to set case reserves for specific clients. Negotiates and settles claims of varying complexity with minimal supervision. Prepares settlement letters, coverage and liability denial letters, Reservation of Rights letters and other letters as needed. Shows appropriate attempts in establishing initial contact. Maintains current follow ups in all files. Attends mediations, as needed. Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication. Records time and expense charges to clients. Manages expected caseload. Secures/maintains appropriate state adjuster licenses, continuing education requirements and certifications.

Requirements

Requires a high school diploma; advanced education beyond high school preferred or an equivalent combination of education and experience.
Minimum of 5 years of Commercial and Personal Liability claims handling experience.
Must be licensed, or have the ability to obtain license(s), as required by state and local jurisdictions to adjust insurance claims.
Must have a valid driver’s license
Ability to work in a high volume, fast paced environment managing multiple tasks with minimal supervision.
Ability to provide excellent service to policyholders and clients.
Ability to efficiently operate a computer and related claims and business software.
Effective analytical and problem-solving skills necessary to make decisions and resolve conflict with minimal supervision.
Excellent verbal and written communication skills.
Excellent attention to detail.
Strong analytical ability.
Ability to work independently in a virtual environment when required.
Excellent organizational and time management skills.
Possesses a high level of investigation, analysis, evaluation and negotiation skills.

Responsibilities

Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable statutes and case law.
Possesses in-depth knowledge of multi-jurisdictional claims handling issues.
Conducts interviews of all involved parties as requested by client.
Completes investigations by obtaining and reviewing police and other official reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage.
Obtains medical authorizations to secure records and bills to evaluate injury claims.
Analyzes injury information to set case reserves for specific clients.
Negotiates and settles claims of varying complexity with minimal supervision.
Prepares settlement letters, coverage and liability denial letters, Reservation of Rights letters and other letters as needed.
Shows appropriate attempts in establishing initial contact. Maintains current follow ups in all files.
Attends mediations, as needed.
Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication.
Records time and expense charges to clients.
Manages expected caseload.
Secures/maintains appropriate state adjuster licenses, continuing education requirements and certifications.