The Claims Complex Casualty Adjuster handles complex claims involving material damage, property, and/or liability lines of insurance.
Conduct phone and/or field investigations to determine liability and damages.
May attend and participate in legal proceedings.
Identify and obtain statements from insureds, claimants and witnesses.
Communicate and interact with a variety of individuals including insureds and claimants.
Explain benefits, coverages, fault and claims process either verbally or in writing.
Recognize and appropriately address complex coverage and subrogation issues.
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve their first and third-party claims.
Control expenses for areas of responsibility.
Handle administrative functions, update database production reports, document and update claim files via company systems.
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability.
Coordinate with internal and external departments as required.
Mentor other adjusters, assisting them with increasing understanding of adjudicating complex claims.
Respond quickly to customer needs and problems. Independently resolve claim exposures within level of authority.

10+ years Prior claims experience.
7-9 years Property, Auto, Casualty or relevant claims experience. Preferred
Comprehensive knowledge of claims administration best practices and procedures.
Advanced knowledge of insurance, fault assessment, negligence and subrogation principles.
Comprehensive understanding of building and vehicle repair procedures and third-party liability issues.
Advanced knowledge of Microsoft Office suite, general computer software and claims software.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Advanced leadership skills among peers required.
Chartered Property Casualty Underwriter
Insurance Institute of America Preferred
Associate in Claims
Insurance Institute of America Preferred
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance
Issued by State Required

Health coverage for medical, dental, vision
401(K) saving plans with company match AND Pension
Tuition assistance
Floating holidays and PTO for community volunteer programs
Paid parental leave
Wellness programs
Employee discounts (membership, insurance, travel, entertainment, services and more!)

Claims Complex Casualty Adjuster

Key skills