Complex Claims Master Adjuster

Job not on LinkedIn

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👻 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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Westfield Insurance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

🤝 B2B

👥 B2C

Insurance • B2B • B2C

Westfield Insurance is a mutually owned insurance company that provides a broad range of personal and commercial insurance products and services. Founded in 1848 and A-rated by AM Best, Westfield offers business coverages (commercial auto, property, umbrella, cyber, workers' compensation, BOP, inland marine, surety bonds), personal lines (homeowners, auto, high-value homes, condo, flood, umbrella), and specialized farm & agribusiness and specialty insurance. The company emphasizes financial strength, community commitment, digital customer tools (MyWestfield®), and value-added services such as bundled safety sensor service (Ting) for eligible policyholders.

📋 Description

• Determine coverage for assigned complex claims and investigate coverage, liability, legal climate, exposure, and damages • Make claim resolution decisions • Select, direct, and supervise internal and external resources and experts • Communicate with claims staff, business partners, insureds, claimants, agents, attorneys, insurers, vendors, contractors, and public adjusters • Establish and review claim reserves and complete claim status reports • Negotiate settlements and refer claims exceeding authority with recommendations • Stay current on industry topics, trends, processes, technology, and best practices • Assist less experienced claims professionals with large or complicated losses • Participate in coaching, development, training, and education of claims professionals • Participate in complex exposure file analysis and strategy development • Travel as needed, including regular use of an assigned fleet vehicle and short-notice or daily driving duties • Serve as a technical consultant and subject matter expert to business partners

🎯 Requirements

• 10+ years of complex claims handling experience • Bachelor's degree in Business Administration or related field and/or commensurate work experience • Valid driver’s license • Driving record that conforms to company standards • Chartered Property Casualty Underwriter (CPCU) certification preferred • Associate in Claims (AIC) certification preferred • Claims adjustment, evaluation, investigation, and management knowledge • Claims management system experience • Insurance industry knowledge • Business process improvement knowledge • Financial controls knowledge • Claims case management knowledge • Data analysis and reporting skills • Cost optimization knowledge

🏖️ Benefits

• Remote work arrangement • Assigned fleet vehicle • Travel expenses/vehicle utilization for assigned territory