POSITION MISSION: Effectively and efficiently investigate, evaluate, and settle Specialty Casualty Claims according to policy provisions in an equitable, fair manner while promoting a high level of customer service on assigned line(s) of business in support of Claims’ mission

POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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  Review applicable coverage forms and endorsements, providing thorough analysis of coverage and document the claim file accordingly.
• Conduct investigations, damage assessments, cause and origin determinations and claim evaluations.
• Provide thorough reporting and documentation of all reserves and claim information on a timely basis to allow proper tracking, statistical analysis, and review by claims management.
• Adjusts claims within delegated authority complying with all regulatory and reporting requirements including the Fair Claims Practices Act and relevant laws.
• Make recommendations to management pertaining to coverage, settlement positions and file reserves based on well supported reports.
• Negotiate with claimants, carriers, and attorneys to reach fair and equitable settlements within assigned authority.
• Review lawsuits and provide recommendations for handling.
• Monitor defense counsel adherence to litigation procedures, including prompt budget submissions.
• Identify and respond to all emerging issues impacting the company in the area of claim adjustment and loss control.

Other Duties:

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  Participate in Claim Reviews with Large Accounts and/or Program Partners.
• Attend depositions, settlement conferences and trials when necessary.
• Performs other duties or special projects as required or as assigned by a supervisor

KNOWLEDGE, SKILLS, AND ABILITIES:

The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily.

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  Thorough knowledge of claims operations to include adjusting, LAE, customer experience, salvage, subrogation, risk transfer, and payment processes
• Making and taking responsibility for, and demonstrating commitment to appropriate decision in a timely manner
• Displays a clear understanding of who the customer is, both internal and external
• Comfortable working with all clients and business partners
• Being able to properly analyze information in an efficient manner that promotes resolution of a claim
• Having the ability to negotiate settlement of serious bodily injury claims including claims in litigation
• Understands the company’s products, services, department function and overall organization
• Is well organized and uses time effectively with ability to balance competing priorities
• Excellent technology skills; effectively utilizes and maximizes technology to optimum productivity advantage
• Exhibits strong and effective verbal and written communication skills that are professional and diplomatic including ability to competently spell, write, compose, and proofread copy
• Understands MGA and GA partnerships

DEPARTMENTAL EXPECTATIONS

• As a representative of the company, maintain a consistently high level of customer service
• Prompt, reliable, and friendly service
• Exhibits a sound understanding of department goals and objectives
• Demonstrates initiative and innovation in daily performance of responsibilities. Shows personal integrity, inspires trust, and sets a positive example through a strong work ethic, commitment, and enthusiasm
• Ability to work independently yet be a complete team player
• Support the corporate culture and create a positive work environment

COMPETENCIES:

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  Critical thinking
• Attention to detail
• Responsible and proactive decision making
• Time management
• Relationship skills
• Analytical thinking skills

QUALIFICATIONS:

• Bachelor’s Degree preferred
• Minimum 5 years commercial casualty adjusting experience
• AIC, or other professional designations preferred
• Contractors’ general liability experience is a plus
• Adjuster licenses in multiple jurisdictions preferred

PHYSICAL DEMANDS:

Please note, this position description is not designed to cover a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

• Position operates in a professional office environment or remote office environment, and routinely uses standard office and mobile equipment such as computers, phones, and possibly photocopiers.

• Position requires attending both internal and external meetings, attending conferences and other training events.
• Flexibility in daily work times and telecommuting is allowed; average 40-hour week; occasional evening, weekend work, or overnight travel may be required as job duties demand.

• Position can be fully remote.