Senior Liability Claims Adjuster (Senior Claims Adjuster)

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations.

Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we are bound by a common mission and purpose: Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric.

Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot is embedding artificial intelligence (AI) and automation across the organisation to enhance decision‑making, efficiency, and quality of outcomes. The Senior Claims Specialist, Workers Compensation will investigate, evaluate and conclude lost time Worker's Compensation claims of larger monetary exposure and/or complexity. This can lead to a compensability decision and managing the claims until settled. This position will report to a designated Claims Manager.

Responsible for investigating worker’s compensation claims cases from open to close and adhering to the claims processes and procedures with respect to payment, reporting, reserving, and auditing necessary for assigned caseload.

Responsible for contacting all parties involved in the claim, gathering and securing all necessary information to effectively evaluate the claim and outlining and recommending an action plan to manage the claim

Provides excellent communication with policyholders, injured workers, medical providers, brokers, and attorneys throughout the course of the claim.

Maintain a diary of all claims in a clear and concise manner by documenting all actions taken throughout the course of the claim.

Ensures that assigned claims are properly documented, reserved and processed.

Make recommendations to Claims Manager as needed with respect to reserves and excess authority.

Review and investigate all bills for propriety, reasonableness and medical necessity. Work with the Claim Assistant to obtain additional documentation if needed from providers.

Bachelor’s Degree or equivalent experience.

Minimum of 5 years of workers’ compensation claim handling experience in Florida

Resident Adjuster’s License in Florida

Medical terminology knowledge a plus

Experience with MS Office and any claim handling systems

Commitment to providing top quality service to all internal and external business partners.

Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Life Insurance, AD&D, Work/Life Resources (including Employee Assistance Program), and more.

Leave Benefits: Paid holidays, annual Paid Time Off (includes paid state /local paid leave where required), Short-term Disability, Long-term Disability, Other leaves (e.g., Bereavement, FMLA, Adoption, Maternity, Military, Primary & Non-Primary Caregiver) Retirement Benefits: We will never ask for payment or sensitive personal information during any stage of the recruitment process.