Liability Claims Adjuster (Wholesure)

Receives claim assignments from claim supervisor; examines claim forms and other records to determine insurance coverage. 

Interviews, telephones, and/or corresponds with claimant(s) and service providers within established time frame; documents the results of these contacts. 

Consults police reports and medical records to determine nature and extent of the accident.  

Reviews medical bills to ensure treatment is reasonable, necessary and related to the injury; approves bills for payment. 

Ensures that claim file documentation and reserves are current; and keeps client advised on claim status.   

Negotiates settlement with claimant within limits of authority and in accordance with applicable state laws. 

Coordinates and monitors litigation with attorneys. 

Monitors medical issues. 

Brings claims to conclusion.  

Handles caseload consisting of complex liability claims. 

Independently prepares for and attends client meetings to discuss claim status, reserve levels and action plans. 

Participates in mentoring program to assist in the professional development of less experienced adjusters.   

Assists with client development, education, and problem solving. 

Completes Excess reports and requests for reimbursement; submits these to carrier; follows up for recovery. 

Handles claims involving subrogation from investigation through recovery. 

High school Diploma or equivalent is required 

3-5 years prior experience handling auto/general liability claims/ or an equivalent combination of training, education and experience.  

State Adjuster licensing required; (NY license preferred)  

Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required.  

Analytical thinking skills are needed to properly evaluate complex claims 

A strong attention to detail is necessary as claims adjusters must carefully review documents and policies 

Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred. 

Ability to listen well and negotiate with constituents is needed.  

Ability to speak a second language is an asset 

Basic computer skills or the ability to quickly learn new software are required 

A strong work ethic and time management skills is needed, to efficiently handle a caseload ranging from minor to complex claims 

Ability to establish and maintain good rapport with clients and claimants is needed.  

Ability to calculate figures is required