TPA Residential Claims Adjuster

1 week ago


Jersey City, New Jersey, United States RYZE Claim Solutions Full time
Job Title: TPA Residential Desk Adjuster

At RYZE Claim Solutions, we are seeking a highly skilled and experienced TPA Residential Desk Adjuster to join our team.

Job Summary:

The successful candidate will be responsible for investigating, evaluating, reserving, negotiating, and resolving assigned claims in accordance with client guidelines. The ideal candidate will provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production.

Key Responsibilities:

  • Conduct thorough investigations, as outlined in the claim handling guidelines and best practices
  • Deny, settle, or authorize payments to property claims based on coverage, field reports, and verifiable damage
  • Interview, telephone, or correspond with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc. to gather important information to support the claims; including proofs of loss
  • Set proper reserves
  • Take recorded statements as needed
  • Review and evaluate property claims for coverage and further claim handling procedures to conclude within required statutory time frame
  • Interpret policy language and evaluate coverage issues of multiple different policies and endorsements
  • Address diaries, emails, and voicemails
  • Prepare technical claim documents and correspondence
  • Prepare report of findings of an investigation
  • Contribute to department efforts with an emphasis on team collaboration
  • Other duties as assigned

Qualifications:

  • 2-5 years of homeowner claims experience
  • Guidewire experience strongly preferred
  • Must hold a valid claims adjusting license
  • Proficient in working all loss perils
  • Carrier experience strongly preferred
  • Proficient in Xactimate and Xactanalysis
  • Proficient in reconciling supplements
  • Experience in negotiating settlements
  • Strong writing skills related to policy interpretation is a must
  • Decision making skills and the ability to work independently
  • Familiar with a variety of field concepts, practices, and procedures
  • Good organization and time management skills
  • Analytical and proactive claim handling skills
  • Excellent customer service skills
  • Proficient oral and written communication is a must
  • Proficient computer & typing skills - working knowledge of MS Office: Word, Excel, and Outlook
  • Ability to speak Spanish a plus


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