Sr P&C Claims Adjuster

Company: Assurant
Location: Pompano Beach
Posted on: May 11, 2022

Job Description:

TitleSenior Claims Adjuster
Overview of Position
Responsible for conducting investigations, evaluations and disposition of coverage an damage issues on claims and for recovering damages from at fault individuals or organizations in behalf of Assurant and our insured.This is not a work from home position. You will be required to follow a hybrid work schedule i.e. 2 days in the office in Atlanta, GA and 3 days remotely from your home office.What will be my duties and responsibilities in this job?

• Adjust claims according to applicable laws and policy provisions and comply with all Department of Insurance Regulations.
• Recognize critical files and immediately report them to management. Consult with management on files involving complicated negotiations, applicable compromise recovery agreements and complex liability litigation.
• Confirm coverage and recognize coverage issues. Resolve complex issues and refer any issues as necessary
• Conduct investigations including interviews, record statements, secure public records, and obtain documents. Review all referred files for adequacy of documentation and investigation. Refers incomplete investigations to the original handling adjuster
• Maintain mail, diary and phone calls within company standards.
• Recognize and document subrogation and salvage opportunities and refer to correct area.
• Issue payments or deny claim in accordance with policy conditions and quoting policy language to the correct parties in a timely manner within authority level and seek approval when above authority.
• Review and audit estimates received.
• Handle complex liability claims/medical claims/subrogation in a self-sufficient manner. Files assigned usually have greater degree of complexity. Could handle litigation files.
• Helps establish procedures and process to streamline claim function.
• Provide training to lower-level adjusters and new employees.
• Assist lower-level adjusters with estimate reviews and redlining.
• Orient, train, assign and check work of lower-level adjuster.
• Applies expert problem-solving skills to the most complex of issues. Applies sophisticated negotiating techniques. Recognize and recommend areas needing improvementWhat are the requirements needed for this position?
  • College Degree and or equivalent work experience
  • 5-6 years prior claim experience or 6+ years prior experience in similar industryWhat other skills/experience would be helpful to have?Insurance designations as required for specific business unitMay be required to travel to attend meetings or seminars as requested by managementWhat are the working conditions and physical requirements of this job?General office demands

Keywords: Assurant, Pompano Beach , Sr P&C Claims Adjuster, Other , Pompano Beach, Florida