Senior Casualty Adjuster

Role Overview

• The Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements
• The primary functions include liability investigation, coverage evaluation, negotiation strategies and claims resolution of moderate to high complexity claims
• Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices
• Under general supervision, works within specific limits of authority to resolve claims
• Conduct phone and/or field investigations to determine liability and damages
• May attend and participate in legal proceedings
• Identify and obtain statements from insureds, claimants and witnesses
• Communicate and interact with a variety of individuals including insureds and claimants
• Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements
• Recognize and appropriately address moderate complexity coverage issues
• Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data
• Negotiate within settlement authority with insureds and claimants to resolve first and third party claims
• Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
• Control expenses for areas of responsibility
• Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability
• Coordinate with internal and external departments as required
• Respond quickly to customer needs and problems
• Independently resolve claims within authority level

Requirements

• Bachelors Equivalent combination of education and experience
• Preferred 7-9 years Prior claims handling experience
• Preferred 4-6 years Property, Auto, Casualty or relevant claims administration experience
• Required Comprehensive knowledge of claims administration best practices and procedures
• Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required
• Comprehensive understanding of building and vehicle repair procedures and third-party liability issues
• Advanced knowledge of Microsoft Office suite, general computer software and claims software
• Advanced organization and planning recognition skills required
• Advanced oral and written communication skills required
• Advanced interpersonal skills required
• Advanced leadership skills among peers required
• Exhibit proficiency and understanding of medical terminology and causality
• Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance
• Issued by State
• Required Chartered Property Casualty Underwriter
• Insurance Institute of America
• Preferred Associate in Claims
• Insurance Institute of America
• An insurance/claims adjuster license may be required for claims administration in specific states.

Tech Stack

• Guidewire

Benefits

• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance, travel, entertainment, services and more!)