Claims Adjuster – Commercial Auto Excess Casualty

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Reserv Claims

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1 - 10 Mitarbeiter

☁️ SaaS

🤝 B2B

🤖 Künstliche Intelligenz

SaaS • B2B • Artificial Intelligence

Reserv Claims ist ein B2B-SaaS-Anbieter und Third-Party-Administrator (TPA), der sich auf Schadenversicherungen (P&C) spezialisiert hat. Das Unternehmen kombiniert eine KI-gesteuerte Schadensautomatisierung, ein Netzwerk geschulter Gutachter, konfigurierbare Workflows sowie Analytics/APIs, um Versicherern, MGAs und Underwritern bei der effizienteren Abwicklung von Schadensfällen und der Erzielung besserer Ergebnisse zu helfen. Reserv legt Wert auf moderne Technologie, datengetriebene Berichterstattung, erstklassigen Service und globale Operationen in Nordamerika, dem Vereinigten Königreich und der EU.

Beschreibung

• Investigate, evaluate, and resolve complex commercial auto liability claims involving excess layers of coverage, catastrophic injuries, multi-vehicle accidents, and high-exposure scenarios. • Conduct advanced coverage analysis, including policy interpretation, endorsements, exclusions, and multi-jurisdictional considerations. • Issue coverage position letters, including reservations of rights and denials, in alignment with regulatory and internal standards. • Oversee litigation, partnering with defense counsel to evaluate strategy, monitor case progression, and ensure cost-effective, data-driven decision-making. • Leverage Reserv's AI-powered tools to review claim summaries, severity predictions, and structured data insights to enhance accuracy and efficiency. • Evaluate primary carrier handling and determine when excess involvement is triggered, ensuring timely and appropriate intervention. • Collaborate with MGAs, carriers, brokers, and internal teams, providing clear communication and maintaining Reserv's high-touch, white-glove service standards. • Document all claim activity within Reserv's modern claims platform, ensuring data accuracy and compliance with internal and external requirements. • Participate in audits, trend analysis, and feedback loops to support continuous improvement and inform underwriting insights.

🎯 Anforderungen

• Bachelor's degree or equivalent experience. • 10+ years of commercial auto liability or casualty claims experience, preferably with excess or high-severity files. • Strong knowledge of coverage analysis, litigation management, and complex liability evaluation. • Excellent communication skills, with the ability to translate complex issues into clear, actionable insights. • Comfort working in a technology-driven environment with modern systems and data-rich workflows. • AIC, CPCU, SCLA, or similar designations preferred. JD is also a huge plus. • Experience with MGAs, TPAs, or non-admitted/excess & surplus lines. • Familiarity with AI-enhanced claims tools or modern claims platforms (a strong plus at Reserv).

🏖️ Vorteile

• 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. • Technology is something that should make your life easier, not harder! • 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