Regional General Adjuster – Specialized Claims, Large Loss Property

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🔥 2 hours ago

🦌 Connecticut, New Jersey, +2 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🤝 B2B

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • B2B

Dayforce is a cloud-based human capital management (HCM) platform from Ceridian that delivers payroll, HR, workforce management, talent management, benefits administration, time & attendance, and scheduling capabilities. It is offered as a SaaS solution for employers to manage payroll, compliance, recruiting, performance, and workforce processes in a single platform.

📋 Description

• Independently lead investigations and manage the full lifecycle of highly complex, sensitive, and specialized claims • Analyze coverage, liability, and financial exposure; develop tailored resolution strategies and negotiate high-value or contested claims • Issue reservation of rights and draft coverage letters; interpret and apply commercial coverages and legal principles • Set activities, reserves, and authorize payments within high authority limits • Manage litigation budgets and direct counsel payouts • Coordinate with internal and external experts to ensure thorough evaluations and resolution • Identify and pursue risk transfer opportunities • Serve as a subject matter expert (SME) for consistent handling of large losses • Ensure compliance across jurisdictions; maintain accurate and complete claim records • Represent the company in litigation, mediations, settlement conferences, and arbitrations • Lead cross-functional meetings and collaborate with underwriting, agents, vendors, and legal teams to drive consensus • Identify coverage gaps and partner with product management to enhance offerings • Maintain strong time and desk management skills; prepare reports and contribute to special projects

🎯 Requirements

• Bachelor’s degree preferred; equivalent experience accepted • Typically requires 8+ years of relevant experience • Industry designations (e.g., CPCU, AIC) strongly preferred • Extensive experience handling highly complex, high-value claims with significant legal, financial, and reputational exposure • Recognized authority in negotiation and resolution of complex claims • Demonstrated expertise in analyzing policy coverage, legal liability, and regulatory frameworks across jurisdictions • Proven ability to manage litigation strategy, direct counsel, and represent the company in trials, mediations, and arbitrations • Experience mentoring others and contributing to the development of investigative techniques, compliance protocols, and claims handling standards • Strong written and verbal communication skills • Ability to draft clear, factual, and objective work product without opinion • Highly organized with proven ability to manage complex workflows, projects, and competing priorities • Deep understanding of insurance principles, coverage interpretation, and jurisdictional requirements • Strategic thinker with sound judgment; able to make informed decisions independently and assess financial implications • Ability to use a personal computer and other standard office equipment • Ability to travel as necessary • Required to work on-site as needed

🏖️ Benefits

• Health insurance • Mentoring and support for less experienced adjusters • Continuing education seminars