Description
We are seeking a Liability Senior Claims Adjuster - (Municipal Claims) to investigate, evaluate, negotiate, and resolve complex and high exposure liability claims in accordance with company policies, client service standards, and regulatory requirements.
Key Responsibilities:
- Conduct prompt, accurate investigations of liability claims, interview all relevant parties to obtain loss events facts and to establish liability; handle claims files to final resolutions.
- Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values.
- Interact extensively with various parties involved in the claim process.
- Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client per account handling guidelines.
- Handle claims consistent with best practices, client and company policies and procedures and also in accordance with statutory, regulatory and ethical requirements.
- Document and communicate all claim activity timely and effectively which supports the outcome of claim files, in accordance with established procedures; develop and maintain a progressive plan of action.
- Utilize a system diary system effectively and appropriately to keep claims files current.
- Create, edit, and/or revise correspondence to other parties as necessary.
- Effectively identify, evaluate, and handle risk transfer on liability claims.
- Identify and notify responsible third parties of their potential exposures and follow up for reimbursement of amounts owed to clients.
- Examine and address claim files reserves for accuracy.
- Prepare for and assume lead roles in collaboration with defense counsel during mediations, arbitrations and trials.
- Formulate problem-solving platforms to plan, organize and negotiate claim resolutions, timely and with maximum cost efficiency, for service to the client.
- Produce and review prepared and on-demand claims and status reports with the client.
- Maintain current knowledge of laws and statutes pertinent to liability claims handling, maintain CEUs and licensing in current and/or active status, as appropriate.
- Perform other duties as assigned.
Skills, Knowledge & Expertise:
- Active Florida All-Lines Adjuster License (5-20 or 6-20).
- A minimum of five years handling all aspects of liability claims and subrogation with a consistent high level of performance and achievement.
- General liability, auto liability, complex and professional liability claims experience required.
- Willing to travel for mediations, to the client for status reporting, or other meetings, as necessary.
- Experience handling all aspects of liability claims and subrogation.
- Extensive knowledge of applicable statutes, accepted industry standards, and practices.
- Ability to successfully and skillfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation.
- Ability to effectively operate a personal computer and related claims and business software.
- Must be able to attend and effectively participate in mediations, claim reviews, and status meetings with the client as necessary.
- Must be self-directed and able to work independently.
- Good communication skills, both oral and written; good customer service skills.
- Assertive self-starter with excellent organizational skills. Fast and accurate. Team player. Good attendance.
- Demonstrated experience managing complex, litigated, and high-severity claims.
Benefits:
- Medical, dental, and vision plans to support your health and that of your family.
- A 401(k) plan with employer matching.
- Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees.
- Paid holidays.
- Life insurance and short-term and long-term disability coverage.