Senior Claims Adjuster

Gallagher • Lyndon, KY

6d

About The Position

Rice Insurance Services Center, now a part of Gallagher, has specialized in state-mandated real estate E&O programs since 1989. We provide the group policies in the 15 states that have group programs and require real estate licensees to maintain insurance. We handle all aspects of the programs, providing ease and consistency throughout the entire process, from obtaining coverage to claims resolution. For more information about us, please visit https://www.risceo.com/. Rice Insurance Services Center has an exciting career opportunity for a Claims Adjuster. The Claims Adjuster manages insurance claims to determine the extent and legitimacy of claims and issue benefits as jurisdictionally required. This is a highly detailed role and is an end-to-end claims role

Requirements

• High school diploma and 5 years related claims experience required.
• Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
• Extensive knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.
• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
• Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

Nice To Haves

• Bachelor's degree preferred.

Responsibilities

• Investigates claims for merit and legitimacy by gathering documentation from all affected parties, identifies and verifies damage to person or property either through statements or on-site investigations or meetings with clients. Establishes appropriate pricing of claims based on research and analysis.
• Notifies clients of results of investigations. Discusses lines of authority for specific claims resolution. Makes recommendations for settlements or denial of claims. Processes denials.
• Negotiates claims with claimants and or claimants’ legal counsel.
• Properly reserves funds. Adjusts client claim reserves appropriately. Obtains required releases for finalization of claims.
• Maintains post-litigation files.
• Reviews rates, rules and regulations to ensure that claims practices correctly follow standards and laws.
• Other duties as assigned.

Benefits

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave
• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees