Job Description

Claims Adjuster

Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau.

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

1. Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis.
2. Settle claims within settlement authority, where applicable.
3. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally.
4. Attend mediations, when applicable and negotiate settlement within authority.
5. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy.
6. Process incoming and outgoing claims and vendor payments.
7. Maintain loss fund.
8. Must review and recommend policy wording changes.
9. Perform claim status requests and updates.
10. Prepare daily, weekly and monthly reports.
11. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office.

Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High School Diploma
• College degree or equivalent work experience
• Claims Adjuster's license
• Good organizational/time management skills
• Ability to work under time constraints and meet deadlines
• Strong verbal and written communications skills
• Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment
• Knowledge and use of correct spelling and grammar
• Ability to write legibly
• Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds
• Ability to adhere to all organizational policies and procedures
• Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
• Ability to travel, occasionally overnight

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