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Senior Liability Adjuster

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 
South Carolina (USA), United States

Offer summary

Qualifications:

High school diploma; advanced education preferred, Minimum of 5 years insurance claims experience, License or ability to obtain state adjuster licenses, Valid driver’s license, Knowledge of commercial and personal claims.

Key responsabilities:

  • Evaluate coverage based on claim report and policies
  • Conduct interviews of all involved parties
  • Complete investigations by reviewing relevant documents
  • Negotiate and settle complex claims with minimal supervision
  • Maintain communication with clients about claim status
Capstone ISG logo
Capstone ISG Insurance SME https://www.capstoneisg.com/
51 - 200 Employees
See more Capstone ISG offers

Job description

Description

  Capstone ISG is one of the nation's fastest growing Independent Adjustment firms. As we continue to grow our business, we look for people who offer inspiration and innovation, as well as have an internal drive for results. Our team members are focused on customer service and are dedicated to making Capstone a fun and rewarding place to work.


MUST RESIDE IN SOUTH CAROLINA


Benefits Include:

  • Competitive salary with annual raises
  • Quarterly performance bonuses
  • Medical, Dental, Vision
  • 401 (k)
  • Short and Long Term Disability
  • Life Insurance
  • Sick, Vacation and Holiday Pay
  • Fitness Membership Reimbursement
  • Company paid training

Primary Responsibilities: 

  • Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable statutes and case law. Coverage interpretation will be for personal and commercial lines policies. 
  • Possesses in-depth knowledge of multi-jurisdictional claims handling issues.
  • Conducts interviews of all involved parties as requested by client. Interviews will be done by telephone or in-person. Statements may be recorded or written.
  • Completes investigations by obtaining and reviewing police and other official reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage.
  • Obtains medical authorizations to secure records and bills to evaluate injury claims.
  • Analyzes injury information to set case reserves for specific clients.
  • Negotiates and settles claims of varying complexity with minimal supervision.
  • Prepares settlement letters, coverage and liability denial letters, Reservation of Rights letters and other letters as needed.
  • Shows appropriate attempts in establishing initial contact. Maintains current follow ups in all files.
  • Attends mediations, as needed.
  • Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication.
  • Records time and expense charges to clients.
  • Manages expected caseload.
  • Secures/maintains appropriate state adjuster licenses, continuing education requirements and certifications.
Requirements
  • Requires a high school diploma; advanced education beyond high school preferred or an equivalent combination of education and experience.
  • Minimum of 5 years of Commercial and Personal Liability claims handling experience.
  • Must be licensed, or have the ability to obtain license(s), as required by state and local jurisdictions to adjust insurance claims.
  • Must have a valid driver’s license

Skills and Competencies: 

  • Ability to work in a high volume, fast paced environment managing multiple tasks with minimal supervision.
  • Ability to provide excellent service to policyholders and clients. 
  • Ability to efficiently operate a computer and related claims and business software.
  • Effective analytical and problem-solving skills necessary to make decisions and resolve conflict with minimal supervision.
  • Excellent verbal and written communication skills.
  • Excellent attention to detail.
  • Strong analytical ability.  
  • Ability to work independently in a virtual environment when required. 
  • Excellent organizational and time management skills.  
  • Possesses a high level of investigation, analysis, evaluation and negotiation skills.

Physical Demand Requirements:

The physical requirements associated with the position are limited. Repetitive tasks are associated with typing, filing, data entry, telephonic communication, and general clerical duties. While performing the duties of this position, auto travel is required.

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Analytical Skills
  • Computer Literacy
  • Customer Service
  • Problem Solving
  • Verbal Communication Skills
  • Detail Oriented
  • Time Management
  • Organizational Skills

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