Senior Claims Adjuster – Premises

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🕒 vor 4 Monaten

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Vollzeit

🟠 Senior

📋 Schadensspezialist

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Samazon Staffing

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1 - 10 Mitarbeiter

Spezialisiert auf Direkteinstellungen im Bereich Immobilienmanagement sowie in anderen Branchen.

Beschreibung

• Manage caseload of primarily litigated files of approximately 125 claims. • Direct independent adjusters (when applicable) and defense counsel, as necessary • Analyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine the exposure on the claim • Investigates, analyzes, determines potential liability, and effectively settles with adverse parties. • Manages claims through well-developed action plans to an appropriate and timely resolution • Assesses liability, gather investigative information and resolve claims within evaluation • Negotiates settlement of claims up to designated authority level, request authority timely, as needed • Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim • Approve and makes timely claim payments and adjustments, and settles claims within designated authority level • Assist litigation manager with the litigation process; ensures timely and cost-effective claims resolution • Uses appropriate cost containment techniques • Communicate claim activity with the appropriate parties (supervisor, broker, agent, client) • Cultivate and maintain professional client relationships • Participate in monthly claim round table and reserve committee • Audit files to ensure field completion and data integrity • Prepare Claim Analysis Reports for all claim reviews (internal/external) • Complete Plan of Action, Status Updates, Reserve Properly, • Request all pertinent documents and audit files for closure, field completion, document gathering, financials, etc. • Request settlement authority and checks • Identify tender and subrogation opportunities • Attend mediations, if merited (rare travel, if any). • Exercises sufficient and independent judgment to settle cases prior to mediation and/or litigation. • Obtains all necessary documentation from the appropriate parties within established timelines. • Remains abreast of new case law and statutes. • Maintains confidentiality of information processed. • Ensure the maintenance of the data integrity of our RMIS • Mentors team members. • Completes other duties and special projects as requested.

🎯 Anforderungen

• Required - High School Diploma • Required - Bachelor's Degree from an accredited college or university • Required – Multi-state Licensed Casualty Adjuster • AIC/CPCU/ARM Designation highly preferred

🏖️ Vorteile

• Medical - UHC • 401K plus match