Match score not available

Senior Claims Adjuster - General Liability and Commercial Auto

Remote:

Full Remote

Contract:

Full time

Experience:

Senior (5-10 years)

Work from:

Florida (USA), United States

Offer summary

Qualifications:

Bachelor's degree required, 7 years of claims experience, NY and FL or TX licenses needed, Familiarity with coverage and negotiation techniques, Strong organizational skills and detail-oriented.

Key responsabilities:

Investigate and resolve various claims promptly
Establish and adjust loss and expense reserves
Negotiate claims resolution within authority limits
Ensure compliance with regulatory guidelines
Manage service vendors according to guidelines

PMA Companies Insurance Large https://www.pmacompanies.com/

1001 - 5000 Employees

See more PMA Companies offers

Job description

Investigates, evaluates and resolves Automobile, General Liability, Professional Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned claims of higher loss exposures, coverage issues and includes a pending of litigated files.

Responsibilities

Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority.
Establishes and executes appropriate action plans for claim resolution including loss cost management.
Comply with Special Handling Guidelines of Client
Works collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims.
Selects and manages service vendors in accordance with company and client special handling guidelines.
Maintains a strong working knowledge of regulatory and jurisdictional requirements.
Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
Communicates effectively with internal and external customers on claims and account issues.
Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims.
Effectively manage litigation process and defense counsel to ensured timely and cost effective outcomes.
Prepares and submits claim status and excess reports to client and their excess carrier(s)
Potential local travel.
Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements

Bachelor's' degree and a minimum of 7 years of progressively responsible experience handling Commercial Automobile, General Liability, Professional Liability and Property claims required.
NY and Fl or TX licenses required.
Familiarity with coverage, negligence principles, investigation and negotiation techniques.
Obtains and maintains state adjusting licenses, as needed. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license.
Strong organizational skills and detail oriented.
Ability to work independently, handle multiple tasks simultaneously and exercise good judgment.
Excellent verbal and written communication skills.
Excellent customer service skills.
Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.