Specialty Claims Adjuster II

Hagerty

9d•Hybrid

About The Position

As a Claims Specialty Adjuster II, you will provide efficient and effective disposition of assigned claims through timely investigation, evaluation, and negotiation. This adjuster works well under limited supervision using company best practices. They must execute files within their authority to make appropriate decisions regarding coverage, settlement, and liability. The Specialty Adjuster II handles claims involving fire, theft, vandalism, specialty products, collision (1st and 3rd), shop damage, special investigations and various other comprehensive losses and a variety of complex claims. This position investigates coverage, evaluates, settles damages and effectively resolves claims to conclusion in a timely manner. In this role this adjuster is responsible for taking recorded statements, reviewing policies for coverage, settling claims including total losses, writing Reservation of Rights and Coverage disclaimer letters, when appropriate. The person in this role takes ownership of their personal brand, stays professional and works well individually and within a dynamic team atmosphere.

Requirements

Must be detail oriented and show a high level of accuracy
Excellent verbal and written communication skills
Knowledgeable in insurance products and expertise
Exercise decisiveness and execution within their authority
Must have ability to work individually and as a team
Ability to maintain confidential information
Strong problem-solving skills
Strong time management and organizational ability
Must possess a keen interest in self-development
Needs to be reliable, accountable, and trustworthy
Must be able to motivate and lead others
Demonstrate proficiencies with computer software & multitasking
Must maintain impeccable attendance
Must be licensed and bondable

Nice To Haves

Familiarity with public company requirements, including Sarbanes Oxley and key regulations, if applicable. For SOX compliant roles, responsible for designing, executing, and documenting internal controls where they have been identified as owners to prevent errors in financial reporting, processes, and business operations. Including attestation to the completeness, accuracy, and compliance of all financial reporting data, where applicable.

Responsibilities

Makes timely and appropriate contacts with necessary parties, determines, and completes appropriate level of investigation for coverage determination.
Determines exposure, establishes adequate initial reserves, and makes timely adjustment to reserve(s) as required.
Determines settlement value and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level.
Works closely with the Special Investigation Unit (“SIU”) on claim investigations
Pursues subrogation when appropriate.
Handles first party auto property damage losses and occasionally third-party property damage losses.
Demonstrates strong negotiating skills
Controls expenses and expense reserves on storage, towing, appraisals, vendors, or legal counsel
Problem solves complaints or questions
Demonstrating technical learning and skill
Exemplifies strategic agility
Submit timely large loss reports and occasional Large Loss reporting
Maintaining stellar customer service tracked through company metrics
Handles claims for fire, vandalism, theft, complex coverage in personal lines and working in tandem with the SIU to complete thorough investigations in order to determine coverage, liability, and settlement
Meets or exceeds individual goals to help the department reach its targets
Making appropriate coverage and/or settlement decisions
Setting timely reserves
Consistently produces quality work product
Analyzes facts to justify the assistance of SIU, engineers, investigators, or legal counsel
Ability to take quality recorded statements from many parties
Identifies Red Flags
Ability to write accurate Reservation of Rights letters and Coverage declinations
Manages expenses
Pursues recovery as applicable
Fueling engagement within the team and department