General Liability Claims Adjuster

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🕒 March 31

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Reserv Claims

WebsiteLinkedInAll Job Openings

1 - 10 employees

☁️ SaaS

🤝 B2B

🤖 Artificial Intelligence

SaaS • B2B • Artificial Intelligence

Reserv Claims is a B2B SaaS provider and third-party administrator (TPA) specializing in property & casualty (P&C) insurance claims. The company combines an AI-driven claims automation engine, a network of trained adjusters, configurable workflows, and analytics/APIs to help carriers, MGAs, and underwriters process claims more efficiently and deliver better outcomes. Reserv emphasizes a modern technology stack, data-driven reporting, white-glove service, and global operations across North America, the UK, and the EU.

📋 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, analyze coverage and identify any potential coverage issues. • Establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim • Ability to handle all aspects of general liability claims not limited to but including Slip and Falls, Habitational, Risk Transfer, Construction, and New York Labor Law • 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, client counsel and investigative services to resolve the claim while closely with the client. • 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. • Construction Defect is a huge plus! • 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 after 8 months of continuous work • Work from anywhere to facilitate your work life balance • Apple laptop, large second monitor, and other quality-of-life equipment you may want. • Additionally, we will listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role • Work toward reducing and eliminating all the administrative work from an adjuster role • Foster a culture of empathy, transparency, and empowerment in a remote-first environment