General Liability Claims Adjuster

October 31

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Reserv

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Insurance • Artificial Intelligence • SaaS

Reserv is a company focused on optimizing claims management for Managing General Agents (MGAs) and insurance carriers. By leveraging advanced technology and artificial intelligence, Reserv enhances the claims experience by automating routine processes, providing in-depth analytics, and delivering a data-driven approach to underwriting and claims management. Their solutions aim to streamline operations, improve efficiency, and ensure customer satisfaction in the insurance sector.

51 - 200 employees

Founded 2022

🤖 Artificial Intelligence

☁️ SaaS

📋 Description

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests. • Gather necessary information from customers to initiate the claim and explain policy,coverage, and appropriate course of action. • Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim. • Coordinate the repair of damaged vehicles and assist with rental reimbursement. • Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss. • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures. • Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority. • Provide input for continuous development of claims guidelines, best practices, and process improvements. • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim. • Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications.

🎯 Requirements

• Bachelor's degree. JD, Professional insurance designations strongly preferred. • Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license • Minimum of 5 years of experience ideally with; • General Liability (Premise, Habitational, Auto, Garagekeepers, BOP’s, Dwelling) • Construction Liability. • Employers Liability. • Liquor Liability/Dram Shop. • Complex claims involving litigation. • Policy interpretation. Drafting Reservation of Rights letters, coverage declinations. • Third-party bodily injury. • Third-party litigated bodily injury/property damage. • Willing to obtain all licenses within 45 days, including completing state required testing • Knowledge of state regulations, policy provisions, and standard operating procedures • Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures • Curious and motivated by problem solving and questioning the status quo • Desire to engage in learning opportunities and continuous professional development • Ability to collaborate with colleagues within and outside your department • Willingness to travel for client and claims needs

🏖️ Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental • 401(k) retirement plan with employer matching • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized! • Generous family leave policy • Work from anywhere to facilitate your work life balance paired with frequent, regular corporate retreats to build team cohesion, reinforce culture, and have fun • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!