Job Description

Senior Claims Adjuster - CGL

6 months contract to hire

Hybrid - Howell, MI, Southfield, MI, Itasca, IL, Syracuse, NY, Richmond, VA or Worcester, MA

Description:

Our Claims team is currently seeking a Commercial General Liability (CGL) Litigation Specialist.

This is a full time, exempt role, 2 days in office.

Overview/Summary:

This position requires daily telephone contacts with the commercial line policyholders, risk managers, and agents. Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex commercial claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are multi-state and involve commercial customers.

Responsibilities/Essential Functions:

• Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits.

• Handle complex commercial liability claims.

• Works within significant limits and authority on assignments of higher technical complexity and coordination.

• Uses discretion and independent judgment in claim handling

• Identifies possibly suspicious claims

• Possesses demonstrated technical knowledge and skills, including product and industry.

• Claims handled will be of greater complexity and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverages.

• Claims handled will involve moderate complexity, severity and exposures

• Authority levels are higher in recognition of the higher proficiency associated with this level.

• May be responsible for all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality and customer service.

• They may be used as a technical resource by adjusters may represent the company at mediation, arbitration and trials.

• May provide training and mentoring to adjusters.

• Assignments are broad in nature, usually requiring originality and ingenuity.

• Review and analyze contracts, leases, and identify risk transfer opportunities

• Demonstrate ability to write positional coverage letters.

Required Skills, Key Competencies and Experience:

• Typically has 4 to 10 years Commercial General Liability experience

• Bachelor’s Degree or equivalent experience, industry designation preferred.

• Dedicated to meeting the expectations and requirements of internal and external customers

• Makes decisions in an informed, confident and timely manner

• Maintains constructive working relationships despite differing perspectives

• Considers the perspectives of others and gives them credibility

• Strong organizational and time management skills

• Ability to negotiate skillfully in difficult situations with both internal and external groups Demonstrates ability to win concessions without damaging relationships.

• Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.

• Understanding of applicable statutes, regulations and case law

• Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.

• Easily adapts to new or different changing situations, requirements or priorities.

• Cultivates an environment of teamwork and collaboration

• Operates with latitude for un-reviewed action or decision.

• Computer experience (MS Office, excel, word, etc.)

• Proficient using Claims systems (i.e. CSS, PMS, CMX, etc.)

• Ability to work in a paperless environment

Physical Demands and Work Environment:

• Ability to use a personal computer and other standard office equipment

• Ability to travel as necessary

• Ability to sit and/or stand for extended periods

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