Senior Claims Adjuster - P&C

RH Wine & Co LLC•St. Charles, IL

2d•$83,000 - $104,000•Hybrid

About The Position

If you thrive on solving complex problems, making sound coverage decisions, and helping clients navigate challenging situations, we'd love to hear from you. As a Property Damage Claims Adjuster, you'll investigate and resolve intermediate to complex property damage claims while partnering with insureds, claimants, agents, and legal counsel to achieve fair and timely outcomes.

Requirements

Intermediate to complex property damage claims investigation and resolution
Partnering with insureds, claimants, agents, and legal counsel
Investigate liability claims using state statutes
Review claim related correspondences
Maintain file notes and diary management
Set initial and on-going reserves
Authorize or deny payments
Work with defense counsel on complex settlements
Identify and execute subrogation opportunities
Review and understand insurance policies for coverage determination
Draft coverage letters
Manage vendor costs
Negotiate settlements
Communicate effectively with internal and external business partners
Professional and timely written and verbal communication
Clear and concise communication in discussions
Attentive listening in collaborative discussions
Foster a sense of energy, urgency, ownership, and personal commitment
Timely follow-through on agreed action items
Achieve metric goals outlined by department manager
Support team and complete PTO requests timely
Understand organizational goals and contribute to company success
Follow through on committed actions
Support and assist in implementation of initiatives
Promote collaboration and teamwork
Accept responsibility for performance and actions
Evaluate property damage portion of claim for payment
Willingness to try new ideas and innovative initiatives
Computer literacy testing

Nice To Haves

Well versed in multiple jurisdictions (where applicable)

Responsibilities

Follows defined processes, quality standards and procedures are followed.
Ensure contact with insured, claimant, witnesses, and other parties are secured and obtain details about the loss and properly investigate liability claims while using state statues to arrive at correct decision.
Reviews claim related correspondences and determine appropriate actions are made.
Maintains files notes in accordance with established procedures, maintains timely diary management, updates accurate coding and claim closing goals.
Provides timely and proactive information to clients, claimants, insureds, and others regarding the status of claims.
Sets initial and on-going reserves for incurred costs and authorizes or denies payments based on facts of the claim.
Works with defense counsel regarding questionable complex settlements to ensure most probable outcome.
Ensures subrogation opportunities are consistently identified and executed with correct outline for accurate recovery.
Review and understand insurance policies in order to determine coverage for a claim.
Policy review and coverage analysis for proper coverage interpretation
Draft coverage letters and discuss outcomes with clients and agents proactively before letter is sent.
Roundtable claims with management and counsel, as needed.
Efficiently manage vendor related costs while assigning the correct vendor based on service need.
Maintain current weekly diary with limited overdue items.
Where appropriate effectively negotiates using negotiation tactics for settlements
Well versed in multiple jurisdictions (where applicable)
Communicate effectively with all internal and external business partners using all forms of communication to obtain timely contact.
Written and verbal communication is professional and timely.
Communicate effectively by expressing oneself in a clear and concise manner in one-one and group discussions while listening attentively in collaborative discussions.
Foster a sense of energy, urgency, ownership, and personal commitment to work.
Timely follow-through on all agreed action items with internal and external stakeholders that have been committed to
Achieves all metric goals for adjuster and leader outlined by department manager within scorecard.
PTO requests and support of team completed timely.
Demonstrate an understanding of the organization’s goals and how they contribute to the company’s overall success.
Follows through on committed actions to help achieve goals.
Support and assists in implementation of initiatives.
Promotes culture of collaboration and teamwork across all organizational boundaries.
Accepts responsibility for one’s own performance and actions
Evaluates property damage portion of claim with quality for payment
Demonstrates willingness to try new idea and innovative initiatives

Benefits

Medical, dental, and vision coverage on day one of full-time employment
Paid Parental Leave
Telemedicine is free for you and your family (day one) if you are covered under our medical plan
401k match
Professional development support
Linkedin Learning subscription
Flexible time off with an encouraged time away to support a healthy work-life balance
Life Insurance, Short term, and long-term disability on day one of full-time employment and paid for by IPMG
Year End Bonus to qualified employees
Onsite fitness center and showers, in our St. Charles, IL HQ office