Senior Claims Adjuster - Liability

Gallagher•Orlando, FL

About The Position

The Senior Claims Adjuster investigates, evaluates, disposes of, and settles complex claims and high exposures with minimal supervision. The role includes investigating and determining coverage, liability, and damages; setting appropriate reserves; analyzing claim exposure; deciding on a course of action; and settling claims appropriately. The adjuster interacts extensively with parties involved in the claim process, communicates concise action plans, and presents plans for bringing cases to conclusion. The role requires thorough knowledge of the claim file process, including presenting actions and responding to client questions. Claims must be processed consistently with client and corporate policies, procedures, and best practices, as well as applicable statutory, regulatory, and ethical requirements. The adjuster must comply with carrier reporting and threshold requirements, recognize and pursue excess insurance recoveries, and manage a full caseload, including cases of increased severity. Typical reserve and settlement authority is up to $10,000 for liability and/or $25,000 for workers' compensation, or greater.

Requirements

High school diploma.
Five years of related claims experience.
Appropriate license and/or certification in all states where claims are handled, or ability to obtain required licenses or certifications in accordance with 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, communicate effectively verbally and in writing, and embrace new challenges.
Analytical skills to make decisions and resolve complex issues involved in handling losses.
Ability to negotiate the settlement and disposition of serious claims, including interpreting related documentation.

Nice To Haves

Bachelor's degree.

Responsibilities

Investigate, evaluate, dispose of, and settle complex claims and claims with the highest exposures, with minimal supervision.
Investigate and determine coverage, liability, and damages, and set appropriate reserves.
Analyze claim exposure, determine the proper course of action, and settle claims appropriately.
Interact extensively with parties involved in the claim process.
Communicate concise action plans and present plans for moving cases to conclusion.
Demonstrate knowledge of the claim file process by presenting actions and responding to client questions.
Process claims in accordance with client and corporate policies, procedures, best practices, and applicable statutory, regulatory, and ethical requirements.
Comply with carrier reporting and threshold requirements.
Recognize and pursue excess insurance recoveries.
Handle a full caseload, including cases of increased severity.