The Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance.
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.
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
Bachelor's 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 Preferred.
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!)