Complex Claims Adjuster

3 days ago


Oak Ridge, TN, United States Acrisure LLC Full time
Essential Duties and Responsibilities include the following. Other duties may be assigned:

• Handles litigated and non-litigated claims, including: Bodily Injury, Auto Physical Damage (APD) and Cargo claims, from start to finish.

• Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards.

• Caseload: 100-120 claims, with 50% involving litigated files

• Handle claims related to commercial auto incidents, including physical damage and liability claims; with a primary focus on complex/serious losses including fatality, amputation, paralysis, serious injury, etc.

• Investigate, evaluate, negotiate, and settle claims efficiently.

• Manage both litigated and non-litigated claims.

• Ensure compliance with relevant regulations and company policies.

• Maintain detailed documentation for each claim.

• Collaborate with internal and external stakeholders to drive successful claim outcomes.

• Mentors less experience co-workers to develop their understanding of procedures, state laws, and help others improve their claims handling ability

• Ability to back-stop claims leadership in a temporary capacity

• Other duties may be assigned

Qualifications

• High school Diploma or equivalent is required

• 10+ years in Heavy Commercial Auto/ Bodily Injury claims handling or a similar role.

• Experience with APD and Cargo claims is a huge plus, a mix of both carrier and TPA experience is acceptable, however carrier experience is highly preferred.

• Exposure to litigated claims, and current industry standards around multi state good faith claims practices is essential.

• Must hold an active adjuster license, multi-jurisdictional a plus.

• Strong understanding of commercial auto/trucking insurance and claims litigation principles.

• Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required.

• Analytical thinking skills are needed to properly evaluate complex claims

• A strong attention to detail is necessary as claims adjusters must carefully review documents and policies

• Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of the litigation process is preferred but not required.

• Basic computer skills or the ability to quickly learn new software are required

• A strong work ethic and time management skills is needed, to efficiently handle a caseload ranging from minor to complex claims

• Ability to establish and maintain good rapport with clients and claimants is needed; including the potential for on-site customer visits

• Ability to calculate figures is required.

• Potential for travel to mediations or trials.

• Ability to work with minimal supervision and maintain professionalism in challenging situations while providing top tier service to customers and business partners.

Physical Demands:

While performing the duties of this job, the employee is regularly required to sit; stand; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:
  • Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
  • ... and so much more

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.

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