Investigate and evaluate insurance claims to determine coverage, liability, and potential damages.
Collect and analyze relevant information, prepare detailed reports summarizing findings.
Communicate with claimants, policyholders, and other stakeholders to address concerns and provide updates.
Conduct thorough investigations, negotiate fair settlements while adhering to guidelines and standards.
Interpret insurance policies and coverage terms to determine extent of coverage and exclusions.
Collaborate with internal units and maintain accurate claim records in digital systems.
Stay updated on industry trends, and participate in training programs.
Requirements
JD with active bar membership, or
6+ years of senior complex claims experience (commercial auto/trucking, GL, excess, etc.).
Proven experience as a Claim Adjuster or in a similar role within the insurance industry.
In-depth knowledge of insurance policies, coverage, and claims procedures.
Familiarity with legal and regulatory requirements pertaining to claims handling.
Strong analytical and problem-solving skills, with attention to detail.
Excellent verbal and written communication skills.
Ability to negotiate and resolve conflicts effectively.
Proficient in using claim management software and digital tools.
Demonstrated ability to work independently and meet deadlines.
Relevant certifications (e.g., claims adjuster licenses) and willingness to obtain additional licenses, if needed.
Benefits
Medical, dental, and vision plans to ensure your health and that of your family.
A 401k plan with employer matching to help you build a secure financial future.
Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
Paid holidays.
Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.