Sr. Casualty Claims Adjuster

Palomar•La Jolla, CA

9d•Hybrid

About The Position

The Sr. Casualty Claims Adjuster, under direction from the Senior Vice President, Head of Casualty Claims, will be responsible for handling in-house casualty claims and overseeing the third-party administrator claims. You will handle all aspects of claims notices and files related to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. It will support and assist functional departments, including marketing, risk management, finance and actuarial.

Requirements

5-8 years of relevant experience with a degree of specialized and technical competence in the handling of General Liability/Auto claims and Premises Liability claims.
Proficiency in interpreting and analyzing the application of general liability policies, contracts, lease agreements, risk transfer opportunities etc.
Ability to multi-task varied and significant matters.
Excellent oral and written communication skills.
An inclusive mindset and a team player with an open, transparent communication style.
Demonstrable track record of working autonomously, time management skills and driving progress.
Be intellectually curious, think creatively, and pragmatic.
Experience in a work environment that requires collaboration across work groups.
Working knowledge of industry best practices, procedures and case law
Ability to work independently and assimilate learning materials on many different subjects from various sources.
Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.
Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
Eager to work in a fast-paced environment.
Adjuster’s License or willing to pursue licensure within six months of hire.

Nice To Haves

Experience with Professional Lines claims is a plus.

Responsibilities

Day to day handling of caseload of line of business claims
Evaluating information on coverage, liability, and damages to resolve claims on reasonable terms and at an appropriate value.
Communicate with policyholders, experts, counsel and others to determine the extent of exposure to the insured and the company.
Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.
Evaluate claims and make recommendations to management regarding claim resolution plans/strategies.
Negotiating settlements.
Retaining, directing, and managing litigation counsel.
Participate on, and sometimes lead, audits of TPA partners.
Respond to internal and external requests for information from management, underwriters, actuarial and other business partners.
Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of mainstream casualty and property losses.
Prepare timely and accurate reports to management regarding significant claim developments.
Other duties as assigned