Commercial Property Claims Adjuster

Job Description

Premier TPA with Growth Opportunities is searching for an experienced Commercial Property Claims Adjuster!

• Please note that this position is NOT an Commercial Auto position.**
• Need 5+ years experience as a staff Desk Adjuster of Commercial Properties
• 100% Work-From-Home
• Full Time Position w/ Full Benefits Package (Medical, Dental, Vision, 401k starts on 1st day – And Much More!)
• IT Equipment Provided
  
  

A Commercial Property Claims Adjuster handles a caseload commensurate with the complexity level of claims assigned. Responsibilities include investigating loss, determining coverage, coordinating medical care, managing litigation, assessing damages, negotiating settlements, identifying fraud, and utilizing authorized vendors.

Essential Duties and Responsibilities:

Coverage:

• Identify, analyze, and confirm coverage of COMMERCIAL properties.
  
  

Customer Service/Contact:

• Establish initial contact within parties and client within eight (8) business hours.
• Contact appropriate parties and providers to determine liability, compensability, negligence, and subrogation potential.
• Contact appropriate parties to obtain any needed information and explain benefits as appropriate. Provide information and maintain regular contact throughout the life of the file as appropriate.
• Answer phones, check voice mail regularly, and return calls as needed.
• Assist with training/mentoring of new Claims Adjusters.
• Assist management when required with projects or temporarily handle assistant manager or manager duties as requested.
  
  

Subrogation:

• Refer all files identified with subrogation potential to the subrogation department.
• Maintain closing ratio as dictated by management team.
• Close all files as appropriate in a timely and complete manner.
  
  

Investigation:

• Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate.
• Identify cases for settlement.
• Evaluate and negotiate liens.
• Recognize and report potential fraud cases.
  
  

Litigation Management:

• Develop and direct a litigation plan with defense attorney (if assigned), utilizing all defenses and tools to bring the file to closure. Ensure all filings and state mandated forms are completed in a timely manner. Litigated files must be diarized effectively based on current activity, but no greater than every 60 days.
• Review claim files involving active litigation monthly at minimum, and document responses to filings, development of defenses, depositions, and timely referral to defense counsel.
• Direct the actions of defense counsel on litigated files.
• Attend mediations and trials as required for cost effective litigation management.
  
  

Reserves:

• Establish ultimate reserves (anticipated cost to bring file to close based on known facts) promptly.
• Pay all known benefits, ensuring they are paid in a timely manner according to state statute.
• Verify all provider bills have been appropriately reviewed and paid within standard timeframes.
  
  

Reporting Requirements:

• Report all serious injuries/liability issues and potential large loss claims to the client and/or reinsurer based upon the criteria provided by the client.
• Must pass all internal and external audits, which include those performed by regulatory agencies, carriers, and clients.
• Follow reporting requests as outlined by client files and NARS guidelines.
  
  

Work Environment/Requirements:

• This role requires extended periods of computer screen usage for tasks such as data entry, research, and virtual meetings.
• The ability to maintain focus and productivity while working for long hours in front of a screen is essential.
  
  

Qualification Requirements:

Education / Licensing:

• High School Diploma or equivalent required, 2-year degree or higher preferred.
• Must have experience with litigation.
• 5+ years of prior COMMERCIAL PROPERTY staff desk claim's adjusting experience.
• Must possess a Claims Adjuster’s license or other required jurisdictional licensing in either home state or the state of Florida.
  
  

In the spirit of pay transparency we are excited to share the base salary for the position of Claims Adjuster is exclusive of fringe benefits or potential bonuses. This position is also eligible for an annual performance raise if all guidelines are met. Your salary compensation will be determined based on factors such as geographic location, skills, education and or experience. In addition to those factors, we believe in the importance of pay equality and consider internal equality of our current team members as a final part of any offer. Please keep in mind that range mentioned above is full base salary range for the role. Hiring at maximum of the range would not be typical in order to allow future and continued salary growth. We also offer a generous compensation and benefits package.

Company Description

North American Risk Services (NARS) is a premier third-party claims administrator that is dedicated to producing the best possible results for our clients. "Founded in 1996, NARS handles claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities."

For more career opportunities and to learn more about NARS, please visit www.narisk.com.

North American Risk Services (NARS) is a premier third-party claims administrator that is dedicated to producing the best possible results for our clients. "Founded in 1996, NARS handles claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities." For more career opportunities and to learn more about NARS, please visit www.narisk.com.