Sr Claims Adjuster - Premises

Samazon Staffing•Houston, TX

13d•Remote

About The Position

Reputable company located in Houston but position is remote. If you are located in Houston, it is a plus but not required. TPA Carrier experience a plus. You will be handling the following type of of claims: Wrongful death Slip and Fall Habitability Personal Injury Sexual assault Trip and Fall

Requirements

7-10+ years of experience handling catastrophic level commercial general liability claims
Litigated claims experience imperative
Active license is required (multi-state)
Must share our core values
Must be reliable and dependable
Must enjoy finding and proposing solutions to problems
Must thrive in a fast pace, deadline driven environment
Must be willing to self-learn in addition to taking direction (work independently and as a team)
Must be comfortable with working on new and sometimes unfamiliar problems. Ability to problem solve and find solutions/answers
Must be self-motivated, proactive, and detail oriented
Must be respectful to all colleagues and clients and contribute to a fun, happy and team building atmosphere.
Typing (min 65 wpm)
Experience with automated claims handling systems (RMIS) (paperless environment)
Extensive understanding of contractual relationships and language
Required - High School Diploma
Required - Bachelor's Degree from an accredited college or university
Required – Multi-state Licensed Casualty Adjuster

Nice To Haves

TPA Carrier experience a plus
Real estate/multi-family experience claims handling experience highly preferred
AIC/CPCU/ARM Designation highly preferred

Responsibilities

Manage caseload of primarily litigated files of approximately 125 claims.
Direct independent adjusters (when applicable) and defense counsel, as necessary
Analyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine the exposure on the claim
Investigates, analyzes, determines potential liability, and effectively settles with adverse parties.
Manages claims through well-developed action plans to an appropriate and timely resolution
Assesses liability, gather investigative information and resolve claims within evaluation
Negotiates settlement of claims up to designated authority level, request authority timely, as needed
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim
Approve and makes timely claim payments and adjustments, and settles claims within designated authority level
Assist litigation manager with the litigation process; ensures timely and cost-effective claims resolution
Uses appropriate cost containment techniques
Communicate claim activity with the appropriate parties (supervisor, broker, agent, client)
Cultivate and maintain professional client relationships
Participate in monthly claim round table and reserve committee
Audit files to ensure field completion and data integrity
Prepare Claim Analysis Reports for all claim reviews (internal/external)
Complete Plan of Action, Status Updates, Reserve Properly,
Request all pertinent documents and audit files for closure, field completion, document gathering, financials, etc.
Request settlement authority and checks
Identify tender and subrogation opportunities
Attend mediations, if merited (rare travel, if any).
Exercises sufficient and independent judgment to settle cases prior to mediation and/or litigation.
Obtains all necessary documentation from the appropriate parties within established timelines.
Remains abreast of new case law and statutes.
Maintains confidentiality of information processed.
Ensure the maintenance of the data integrity of our RMIS
Mentors team members.
Completes other duties and special projects as requested.