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Commercial Lines Casualty Adjuster
4 months ago
ESSENTIAL FUNCTIONS AND BASIC DUTIES:
- Assumes responsibility for efficiently handling assigned property or casualty claims.
- Investigates, evaluates, and adjusts assigned claims in accordance with all Company policies and procedures, and all applicable laws and regulations.
- Verifies coverage, investigates losses by gathering all pertinent information, issues coverage determinations, evaluates claims and, where coverage and/or liability exists, sets reserves and accepts claims or negotiates settlements, adhering to assigned authority limits for reserving and payments.
- Exercises independet decision-making with minimal to moderate supervision and direction on assigned claims, using knowledge of applicable codes, laws, standards, and regulations.
- For litigated claims, assigns defense counsel and ensures cases are handled effectively and efficiently until final resolution through settlement or judgment.
- Investigates and identifies all possible sources of recovery and subrogation for assigned claims.
- When necessary and appropriate, attends mediations, arbitrations, or trials on assigned claims.
- Works with SIU to protect Company from false or inflated claims.
- Assumes responsibility for accurate and complete claim files.
- Ensures information in claim files is accurate, current and complete.
- Maintains active diaries for assigned claims files, with current plan of action.
- Assumes responsibility for providing a high level of customer service.
- Responds to insureds and third-parties in a prompt, courteous, and professional manner.
- Relays status of claims to insureds in a timely manner.
- Researches and resolves problems, questions, or concerns or refers them appropriately.
- Assumes responsibility for related duties as required or assigned.
QUALIFICATIONS:
EDUCATION/CERTIFICATION:
- Associate degree in a related area preferred.
- Required insurance certifications.
EXPERIENCE REQUIRED:
- Minimum of three to five years related work experience handling property and casualty claims.
SKILLS/ABILITIES:
- Strong interpersonal and public relations skills.
- Good communication skills.
- Solid analytical skills.
- Ability to identify and understand coverage issues with good knowledge of exclusions and endorsements.
- Good organizational, problem-solving, and prioritizing skills.
About Universal Fire & Casualty Insurance Company:
Guided by an entrepreneurial spirit, Universal Fire & Casualty Insurance Company (UFCIC) is a hybrid property and casualty insurer and insurtech that provides innovative insurance solutions to underserved markets for small businesses. Via online state-of-the-art agency portals and direct to consumer retail (B2C) and business to business (B2B) websites, we design our products intuitively and device agnostic to accelerate competitive underwriting decisions for our partners and customers. UFCIC targets property and casualty insurance for small businesses that are managed in such a way that they deserve to qualify for, and enjoy, the additional advantages in security and coverage offered by an admitted product. While the surplus market, as a last resort channel, can provide a reduced coverage form at a higher price, UFCIC turns this dynamic upside down. Via a higher standard of acceptance, expert underwriting rules, advanced analytics, machine learning, and external data sources to supplement standard risk information, the majority of UFCIC’s target business can “graduate” from the surplus lines and be provided with a superior coverage form in the admitted marketplace. For those risks that necessitate the surplus market, our company uses our E&S carrier, Shield Indemnity, for risk placement. UFCIC also serves the specialty surety bond marketplace by providing a variety of proprietary, cutting-edge, and competitively priced surety products available through efficient direct and agent based technology enabled portals. Via UFCBonds.com (B2C), customers can buy License and Permit bonds direct, as well as other types of surety bonds, with zero commissions and fees – savings are up to 25% compared to online agency based surety bond platforms. For business to business (B2B), our BondRamp.com platform serves our distributors for surety bond placement. Additionally, UFCBonds.com and BondRamp.com issue most bonds instantly and are available 24x7x365 and accessible by computer, tablet, or mobile device. UFCIC is part of the Universal Shield Insurance Group (www.universalshield.com). Universal Shield is composed of Universal Fire & Casualty Insurance Company (www.ufcic.com) - an admitted carrier - and Shield Indemnity Inc. (shieldindemnity.com) - an excess and surplus carrier.
