Senior Claims Adjuster, Specialty Claims

FortegraWoodbridge Township, NJ
17h$90,000 - $150,000Onsite

About The Position

This full-time position will report to the Director, Specialty Claims. As a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business.

Requirements

  • A bachelor's degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience.
  • At least 10 years of relevant and progressive experience in insurance claims, including New York Labor Law.
  • Adjuster licenses, as mandated by specific states, are required.
  • Excellent written and verbal communication skills.
  • Strong analytical skills.
  • Strong negotiation skills.
  • In-depth knowledge of claims, litigation, and trial process.
  • Excellent organizational and time management skills.
  • Proficiency in MS Office (Word, Excel, Outlook).
  • Ability to work independently with limited supervision.
  • Ability to successfully obtain the required state adjusters’ licenses.

Responsibilities

  • Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.
  • Direct management of coverage disputes.
  • Formulating claims and litigation strategies, assigning, directing, and managing outside counsel.
  • Promptly investigating all assigned claims to complete coverage, liability, and damages analysis.
  • Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
  • Maintain and manage a diary system to efficiently and effectively resolve all claims.
  • Make recommendations to management pertaining to coverage, settlement positions and file reserves based on well supported reports.
  • Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.).
  • Participate in Claim Reviews and claim audits.
  • Attend depositions, settlement conferences and trials when necessary.
  • Performs other duties or special projects as required or as assigned by a supervisor.

Benefits

  • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.
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