Insurance Claims Adjuster

6 days ago


Denver, Colorado, United States Network Adjusters, Inc. Full time
Job Title: Claims Adjuster

We are seeking a skilled Claims Adjuster to join our team at Network Adjusters, Inc. As a Claims Adjuster, you will be responsible for investigating, evaluating, and determining liability for assigned multi-line commercial claims.

Job Summary:

The Claims Adjuster will provide superior customer service to meet the needs of the insured, claimant, and internal and external customers. You will review and analyze coverage, apply policy conditions, provisions, exclusions, and endorsements. You will also recognize and apply jurisdictional issues that impact the claim, investigate facts to establish negligence, and determine liability.

Responsibilities:
  • Provide exceptional customer service to meet the needs of the insured, claimant, and internal and external customers.
  • Review and analyze coverage, apply policy conditions, provisions, exclusions, and endorsements.
  • Recognize and apply jurisdictional issues that impact the claim.
  • Investigate facts to establish negligence and determine liability.
  • Manage liability and other claim types requiring specialized investigation and utilization of external experts.
  • Establish and maintain appropriate claim and expense reserves in a timely fashion.
  • Develop and continually update a plan of action for file resolution, including maintaining an effective diary.
  • Document claim file activities in accordance with established procedures.
  • Write denial letters, reservation of rights, tenders, and other routine and complex correspondence to insureds and claimants.
  • Confer with higher-level technical claim personnel for guidance and direction to ensure files are handled properly.
  • Determine settlement amounts based on independent judgment, application of applicable limits, and deductibles.
  • Negotiate settlements within authority limits.
  • Identify subrogation opportunities.
  • Meet all quality standards and expectations based on Best Practices.
  • Assure compliance with state-specific regulations.
  • Effectively manage multiple competing priorities to ensure timely payment, follow-up, and claim resolution.
Qualifications:
  • College/Technical degree or equivalent business experience.
  • Minimum of 3 years of claims handling experience in either General Liability, Employment Liability, or Public Officials Liability.
  • Obtain Adjusters licenses as required to meet business needs.
  • Complete continuing education to maintain licenses.
  • Strong verbal and written communication skills.
  • General software skills, including MS Word, Outlook, and Excel.
  • Customer service and empathy skills.
  • Solid analytical and decision-making skills to evaluate claims and make sound decisions.
  • Excellent negotiation skills and ability to effectively handle conflict.
  • Strong organization and time management skills.
  • Ability to multi-task and adapt to a changing environment.
  • Attention to detail, ensuring accuracy.
  • Strong investigative skills and creativity to achieve optimal results.
  • Ability to maintain confidentiality.
  • Knowledge of Security Industry and/or Elevator Industry is beneficial.
Benefits:
  • Training/Development and growth opportunities.
  • 401(k) with company match/retirement planning.
  • Paid time off/company paid holidays.
  • Comprehensive health plans, including dental and vision coverage.
  • Flex spending account.
  • Company-paid life insurance.
  • Company-paid long-term disability.
  • Supplemental life insurance.
  • Opportunity to buy into short-term disability.
  • Strong work/family and employee assistance programs.

Our available roles are located in Farmingdale, NY, Denver, CO, and Covington, KY. However, if you meet the expected criteria, there is an opportunity for experienced candidates to work remotely.

The starting salary for this position is $85,000-$110,000; factors such as licensing, certifications, work, and relative experience will be taken into consideration.



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