Claims Adjuster – Commercial Passenger, BI

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Reserv Claims

WebsiteLinkedInAll Job Openings

1 - 10 employees

🛡️ Insurance

☁️ SaaS

🤖 Artificial Intelligence

Insurance • SaaS • 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 service to all involved parties by initiating investigations, responding to inquiries, and resolving claims • Gather necessary information from all parties to initiate claims and explain policy, coverage, and the appropriate course of action • Manage an inventory of bodily injury claims • Establish initial reserves for all potential exposures and adjust reserves throughout the life of the claim • Investigate liability and evaluate injuries and damages • Obtain and review medical records, bills, and other supporting documentation • Manage multi-claimant passenger losses • Communicate with involved parties and negotiate settlements with claimants, insureds, and attorneys within approved payment authority • Oversee and direct outside investigative service providers • Work with the client, client counsel, and defense counsel to resolve claims, including litigated files • Recognize recovery opportunities, including contribution and subrogation • Identify claims requiring escalation • Ensure compliance with state and federal regulations, policy provisions, and standard operating procedures • Engage in learning opportunities related to commercial passenger carrier claims, court decisions, claim guidelines, and policy changes • Provide input for continuous improvement of claim guidelines and processes

🎯 Requirements

• Candidates must reside in an eligible U.S. state throughout employment • Unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States • Minimum of 5 years of experience on commercial transportation bodily injury claims, ideally limousine, livery, motorcoach, charter, or other passenger carrier operations • 7 years of overall claims handling from different lines of business • Bachelor's degree; lack of one should not stop you from applying if you possess all the other qualifications • Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license • Obtain any additional required licenses within 60 days, including state testing • Knowledge of state and federal regulations, policy provisions, and standard operating procedures • Familiarity with passenger carrier operations and coverage considerations • Experience managing litigated files and working with defense counsel • Ability to analyze and evaluate claims data and make sound decisions based on established guidelines, policies, and procedures • Ability to complete accurate and timely coverage analysis

🏖️ Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental • 401(k) retirement plan with employer matching • Competitive PTO policy • 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