Senior Liability Claims Adjuster ($96,500.00 - $136,500.00)

Position Summary:

The Senior Liability Claims Adjuster will primarily examine, assess and manage complex third-party bodily injury liability claims including both litigated and non-litigated claims. 

Job Duties:

• Lead investigations, including onsite inspections, claimant statements, witness statements, liability and property evaluation, review of all claim documentation (security footage, incident report, contracts, etc.).
• Set appropriate reserves based on exposure and outside counsel report (when applicable).
• Negotiate and settle claims in a fair and equitable manner based on delegation of authority guidelines.
• Coordinate and manage litigated claims with defense and in-house litigation counsel
• Ensure compliance with all internal litigation guidelines and deadlines, aid in discovery requests, claim strategy and any outside counsel document request.
• Attend mediation, trial and other legal proceedings, as required.
• Review and interpret legal pleadings and case law as necessary.
• Assess risk transfer opportunities to third-parties and draft all tender documents when risk transfer is identified.
• Review, approve and process legal invoices, claims receivables and payments.
• Respond to inquiries from internal and external customers.
• Prepare and provide claim data for monthly and quarterly reports.
• Present claim updates to Divisional management on quarterly basis.
• Direct oversight of TPA managed claims
• Complete reporting to insurance carriers based on the claim reporting policy.
• Perform other related duties as assigned.
   

Minimum Qualifications / Other Expectations:

• Working well with others in a fast-paced, collaborative environment that is also intellectually challenging.
• Demonstrated excellent customer service skills and a passion to help others.
• Demonstrated ability to be a self-starter, work independently and multi-task.
• Strong critical thinking, negotiation, organizational, analytical and decision-making skills.
• Demonstrated excellent time management skills.
• Demonstrated strong written and verbal communication skills.
• Demonstrated excellent reading comprehension.
• Demonstrated understanding of legal and medical terminology.
• Strong computer literacy of MS Office, Google Suite and claims management software.
• 10+ years handling liability claims at an insurance carrier, TPA, broker, risk management or legal department.
• Bachelor’s degree, Law degree or equivalent experience.
• Legal or paralegal experience, preferred.
• Associate in Claims or equivalent, preferred.
• California insurance adjuster license required (or to be obtained within 6 months from employment).