Senior Claims Specialist - CGL/Auto - Duluth, GA

The Jonus Group • Atlanta, GA

1d

About The Position

The Senior Claims Specialist manages moderately complex to complex Commercial General Liability (CGL) and Auto claims. The role requires expertise in claims adjustment practices, a strong customer-service focus, and attention to detail. The specialist investigates and evaluates claims, negotiates settlements, ensures compliance with applicable requirements, maintains claim records, collaborates with internal and external partners, and mentors junior adjusters. The job description notes that duties and responsibilities may be modified at the employer’s discretion.

Requirements

• Bachelor’s degree or equivalent professional experience.
• At least 5–7 years of claims adjustment experience, focused on CGL and Auto claims.
• Active claims adjuster license(s) in Georgia.
• Proficiency with claims management systems, Microsoft Office Suite (Word, Excel, and Outlook), and related software.
• In-depth understanding of insurance policies, risk management principles, and relevant regulations.
• Strong problem-solving, analytical, and critical-thinking skills to evaluate claims, subrogation opportunities, and fraud risks.
• Exceptional verbal and written communication skills.
• Ability to build and maintain strong customer and internal partner relationships.
• Ability to prioritize and manage multiple projects in a fast-paced environment.

Responsibilities

• Investigate, analyze, and resolve moderately complex to complex CGL and Auto claims in accordance with procedures and best practices.
• Provide prompt, professional responses to claimants, policyholders, and key stakeholders.
• Conduct thorough investigations, obtain necessary documentation, and collaborate with legal counsel, medical professionals, engineers, and other external parties to determine liability and resolve disputes.
• Negotiate equitable settlements within financial and legal guidelines to optimize outcomes.
• Ensure claim handling complies with applicable laws, regulations, and company procedures.
• Maintain accurate claim documentation, prepare detailed reports, and inform management about developing trends and significant loss exposures.
• Collaborate with underwriting, special investigation units, and legal teams to assess risk and develop effective solutions.
• Guide and mentor junior adjusters to support their skill development and professional growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior