Casualty Desk Adjuster

Role Description

Candidate should have at least 5 years (prefer 10+) of Public Entity and EPL (Employment Practices Liability) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically challenging claims. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.

• Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
• Investigates and evaluates coverage, liability, and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
• Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
• Responsible for managing defense counsel in litigation of serious and complex claims.
• Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
• Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
• Maintains proper reserves on all pending claims.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• State mandated adjusting licenses as required.
• Insurance designations such as CPCU, AIC, ARM preferred.
• Eight (8) years of related experience, including personal lines claims, evaluating coverage, and drafting coverage letters.
• Experience with commercial lines claims and litigation in multiple states preferred.
• Exposure to and knowledge of affluent market segment.
• Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management.
• Excellent oral and written communication skills, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Excellent negotiating skills.
• Ability to create and complete comprehensive, accurate, and constructive written reports.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Requirements

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
• Physical: Computer keyboarding, travel as required.
• Auditory/Visual: Hearing, vision, and talking.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.