Senior Adjuster, Field Service Claims

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🔥 2 hours ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

⏰ Full Time

🟠 Senior

📋 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 manage field property claims, including those requiring outside field investigations and catastrophe (CAT) response. • Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. • Identify and proactively pursue opportunities to transfer risk to the appropriate entities for the benefit of insureds and business partners. • Maintain comprehensive and detailed claim records, ensuring proper documentation and compliance with jurisdictional requirements. • Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts. • Ensure all claims activities comply with regulatory and company standards. Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. • Investigate and manage suspicious claims using advanced techniques and tools; refer to the Special Investigation Unit (SIU) as needed. • Set reserves, authorize payments, and make financial decisions within authority and contribute to reserving accuracy and efficiency. • Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents. • Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. • Maintains comprehensive factual and organized claim records and prepares detailed reports summarizing findings and recommendations. • Serve as a mentor to junior adjusters, providing guidance on complex claims, compliance, and litigation processes. • Deliver empathetic, clear communication throughout the claims process.

🎯 Requirements

• Bachelor’s degree or equivalent experience with claim handling • Typically requires 5–10 years of adjusting experience. • Strong knowledge of local geography, regulations, and public safety agencies, as well as the ability to build rapport with insureds and navigate the insurance and legal climate. • Skilled in negotiation and developing strategies to influence outcomes. • Demonstrates sound judgment and decision-making, including litigation and compliance matters. • Communicates clearly and effectively in both verbal and written formats across a variety of situations. • Highly organized with the ability to manage complex workflows and project work. • Makes informed decisions based on thorough analysis of complex issues. • Ability to collaborate with internal and external experts, including legal, underwriting, and other stakeholders to ensure thorough evaluation. • Ability to quickly assess customer concerns and anticipate questions, communicate and translate complex and technical terms clearly with easily understood language; deliver difficult messages when needed. • Skilled in using claims systems and Microsoft Office Suite. • Ability to use a personal computer and other standard office equipment. • Ability to sit and/or stand for extended periods. • Required to work on-site as needed. • Ability to travel as necessary. • Ability to work in a fast paced, changing or stressful environment. • Ability to perform work in a noisy/loud work environment. • May be required to have and maintain sufficient home-based internet connection. • Ability to operate a motor vehicle 4-5 hours per day and to get in and out of the vehicle numerous times during the day. • Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as needed to perform field work. • Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable. • Ability to use a ladder safely to get on and off roofs and maintain balance while inspecting roofs. • Ability to perform field work in adverse weather.

🏖️ Benefits

• Must have and maintain appropriate state adjuster licenses, continuing education credits, and a valid driver’s license.