General Liability Claims Adjuster

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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

• 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

🎯 Anforderungen

• 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

🏖️ 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. • 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