Senior Liability Claims Adjuster - Remote

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.
Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven bycore values and operating principles that guide every decision we make.
The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience., This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers..
How You’ll Do It Claims Technical Management:
Independently handle all aspects of the workers’ compensation claims from set-up to closure.
Evaluate and handle high dollar, high exposure, complex claims.
Ability to present claims to senior management, internal and external stakeholders.
Timely administration of statutory medical and indemnity benefits throughout the life of the claim.
Control legal activity with defense counsel through the litigation process while managing legal fees and costs.
Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement.
Claims Customer Service:
Serve as a point of contact for our partner agents and customers to provide general claim guidance and help set claim process expectations.
Assist as necessary in providing claim status to agents and insureds, coverage verification and loss run reports, etc.
Provide excellent customer service to internal and external customers and business partners.
Advocate to ensure that Pie has a leading claims customer experience.
Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes.
The Right Stuff High School Diploma or equivalent is required.
Bachelor's Degree or equivalent experience with some college coursework is preferred.
Minimum of 5-years workers’ compensation claim adjusting experience is required (carrier background, preferred).
Preferred claims experience in 3 or more of following jurisdictions: Ability to evaluate and identify high dollar, high exposure, complex claims.
Advanced knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements.
Advanced knowledge and experience in claim adjudication, medical, and litigation management.
Advanced ability to analyze and take necessary action in multiple focus areas based on several data points.
Ability to make claim decisions to mitigate exposure while achieving the best outcome.
The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.
Competitive cash compensation
Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.
Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States ( territories excluded ) and have access to reliable, high-speed internet.
Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.
Pie Insurance participates in the E-Verify program. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy .
Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.
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