Senior Adjuster, Field Service Claims

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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. • 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. Lead cross-functional meetings and communicate complex information clearly to diverse audiences. • Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency.

🎯 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. • Strong working knowledge of applicable statues, regulations, case law, and third-party legal liability concepts. • 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.

🏖️ Benefits

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