Senior Claims Adjuster

7 days ago

Houston, United States Samazon Staffing Full time

**Great family-owned Company that is looking for loyal employees based in the Houston market but open to remote candidates if they have the right experience in premises claims.

**Experience with Property Management claims a PLUS

**Benefits start first of the month after you begin the position. 100% coverage for the employee.

Three positions needed of all levels. Great bonus potential.

Senior Claims Adjuster -SCA (Commercial General Liability - Premises Claims)

The Senior Claims Adjuster adjudicates assigned claims within their authority and possess an extensive work history of handling complex and/or highly valued claims throughout the United States. Comprehensive written analysis and reports are necessary. Working knowledge and/or ability to research laws, trends, etc. and successfully apply this knowledge to their working files is imperative. This is a highly visible position within our company that requires subject matter expertise, an unwavering commitment, and an awareness that significant business relationships are at stake.

Responsibilities

Manage caseload of primarily litigated files of approximately 125 claims.

Direct independent adjusters (when applicable) and defense counsel, as necessary

Analyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine the exposure on the claim

Investigates, analyzes, determines potential liability, and effectively settles with adverse parties.

Manages claims through well-developed action plans to an appropriate and timely resolution

Assesses liability, gather investigative information and resolve claims within evaluation

Negotiates settlement of claims up to designated authority level, request authority timely, as needed

Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim

Approve and makes timely claim payments and adjustments, and settles claims within designated authority level

Assist litigation manager with the litigation process; ensures timely and cost-effective claims resolution

Uses appropriate cost containment techniques

Communicate claim activity with the appropriate parties (supervisor, broker, agent, client)

Cultivate and maintain professional client relationships

Participate in monthly claim round table and reserve committee

Audit files to ensure field completion and data integrity

Prepare Claim Analysis Reports for all claim reviews (internal/external)

Complete Plan of Action, Status Updates, Reserve Properly,

Request all pertinent documents and audit files for closure, field completion, document gathering, financials, etc.

Request settlement authority and checks

Identify tender and subrogation opportunities

Attend mediations, if merited (rare travel, if any). verbal and written communication skills

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