Liability Claim Adjuster

Liability Claim Adjuster

Requirements

• Minimum 2-5 years claims experience or equivalent combination of education and experience.
• Bachelor’s Degree in Business, Accounting, or related experience preferred.
• Candidate with Commercial General Liability experience is required.
• Adjuster’s License or willing to achieve licensure within six months of hire.

Responsibilities

• Ensure that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
• Interview insureds, claimants, witnesses, take recorded statements and investigate loss details as required.
• Adjust complex injury claims.
• Review police reports, lease agreements, releases, Proof of Loss, etc.
• Confirm and evaluate coverage, including coverage dates and appropriate limits, terms and conditions, insuring agreements, etc. Document the file relative to the coverage analysis and prepare any coverage position letter required (i.e. Denial, Tender Letter, etc.).
• Analyze and interpret medical reports, review medical bills, and formulate settlement evaluations.
• Review reports from adjusters and/or appraiser and evaluate, make judgments, and formulate action plans to carry claim to final disposition.
• Evaluate all key components of the claim and formulate plan to carry file to conclusion. This includes applying appropriate coverage application, liability analysis, Injury/Damage analysis, settlement value range and action plan to resolve the file.
• Sets reserves within authority or makes claim recommendations concerning reserve changes to next level manager.
• Negotiate claim to conclusion with the insured, the claimant, or legal representatives, as needed.
• Secure all required closing documents from the insured, claimant, lien holder or other parties as needed.
• Ensure Claims payments are issued in a timely and accurate manner.
• Identify files with subrogation potential and refer files to Subrogation Representative for evaluation and pursuit of potential subrogation claim.
• Document file activity notes and prepare written reports and letters as required.

Preferred Qualifications

• Bachelor’s Degree in Business, Accounting, or related experience preferred.