Senior Claims Adjuster

Ruan Transportation Management Systems•Des Moines, IA

5d•Hybrid

About The Position

The Senior Claims Adjuster analyzes, investigates, evaluates, and resolves workers' compensation, auto liability, physical damage, and cargo claims. The role may handle more complex claims with larger potential exposure and provides guidance and mentorship to other claims team members. The position is hybrid, combining in-person and remote work each week, with a Monday–Friday schedule during regular business hours and on-call responsibilities.

Requirements

Bachelor's degree or equivalent work experience.
Business or a related field of study.
6–9 years of claims experience.
Strong verbal and written communication skills.
Attention to detail and a sense of urgency.
Ability to set priorities and perform job duties with minimal direction.
Strong analytical, decision-making, and negotiating skills.
Ability to determine liability or responsibility based on workers' compensation and negligence statutes, including comparative and contributory statutes, at local, state, and federal levels.
Ability to communicate with all levels of management within the company.
Willingness to maintain professional and technical knowledge through continuing education.
Initiative and decision-making skills to determine efficient and effective ways to reach claim resolution.
Commitment to Ruan's value statement of acting with integrity and to its guiding principles of safety, people, customer, performance, and continuous improvement.
Auto liability claims experience.

Nice To Haves

Associate in Claims designation.

Responsibilities

Carry out the Company's organizational values and comply with applicable laws, regulations, and Company policies.
Investigate workers' compensation, auto liability, physical damage, and cargo claims.
Interview or correspond with all parties involved in a loss.
Examine photographs, surveillance video, statements, medical records, and other supporting documents to determine damages.
Consult with law enforcement when necessary to determine liability.
Determine whether additional services are needed to resolve claims and make appropriate referrals, including environmental services, independent adjusters, nurse case managers, and legal counsel.
Oversee third-party administrator actions to ensure compliance with Ruan's claim handling instructions.
Recommend acceptance or denial of claims within authority.
Oversee negotiations with claimants or injured workers regarding potential settlements within authority.
Collaborate with internal and external legal counsel to defend Ruan's position on contested claims.
Produce documentation supporting Ruan's position.
Participate in legal proceedings when required.
Maintain claim file documentation and required reports, including OSHA, DOT, and post-accident drug and alcohol testing documentation.
Monitor claim reserves and recommend adjustments as necessary.
Protect and pursue subrogation when appropriate.
Provide guidance and mentorship to other claims team members.
Perform other job-related duties and special projects as required.