Commercial Casualty Litigation Adjuster

Role Overview

• Assigned as owning adjuster when injury exposure is identified
• Handles complex 1st and 3rd party auto liability cases involving injury, including complexity litigated cases with defense attorney involvement
• May handle 1st party medical payment and PIP claims
• Responsible for managing, investigating, and negotiating claims, including collaborating with defense counsel to identify strategy for negotiations
• Provides input as the face of the organization via phone or in attendance on video or in-person at mediations and settlement conferences for litigation claims
• Interacts directly with defense counsel providing direction, authority for resolution and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims
• Making coverage determinations and advising customers as to proper course of action related to coverage issues
• Conducting investigative work of a complex nature (interviewing witnesses; obtaining and analyzing evidence, including medical records; deciding whether an independent medical examination is warranted; etc.)
• Direct defense counsel in non-litigated or litigated claims
• May require appearing at and representing the insureds at arbitrations and trials
• May require testimony in a deposition setting
• Evaluate defense counsel fees and cost for reasonableness and resolve
• Evaluating potential for subrogation and initiating initial notice of subrogation request
• Making final decisions to settle within settlement authority, without supervisory approval, and developing negotiating strategies
• Presenting cases in Committee setting when seeking above settlement authority level; thereafter, independently negotiating and settling the claim
• Will develop and present executive summaries on individual claims to external clients and internal executives in a virtual setting to gain alignment with client on next steps, and settlements
• Handles most commercial product types including but not limited to auto, fleet, last mile delivery, and trucking
• Will handle claims in most geographic venues
• Handles claims involving any vehicle types that may include, but is not limited to auto, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles
• Understands and handles claims in line with any applicable insurance program agreements, claim service level agreements
• Plays a direct role in the development of other adjusters through mentorship, training, and coaching

Requirements

• 6+ years of claims experience
• 3+ years of experience in a Casualty claims role within P&C insurance industry
• Minimum of 1 year in a Sr. Casualty role or equivalent Complex Casualty / Litigation experience
• BA/BS in business, insurance or related area, or equivalent combination of education and experience
• Must hold an Adjuster license for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment

Benefits

• Annual bonus eligibility
• 401(k) with a company match
• Flexible workplace
• Professional development opportunities
• Paid time off