Sr. Claims Adjuster
American Cybersystems, Inc.

Job Info

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Immediately hiring for Sr. Property Claims Adjuster
Position type: Full-time/Direct Hire
Location: 100% REMOTE

Sr. Claims Adjuster - Commercial Property, Litigation

Job Description: Describe specific objectives for this position.
Investigate, coordinate, evaluate, and negotiate General Liability and Property claims presented by insureds or claimants. This includes, but is not limited to, evaluating and verifying coverage, evaluating legal liability, communicating with Insured's, Claimants, Attorneys and Independent Adjusters. It also includes file documentation, negotiating settlements within authority and taking the action necessary to bring all assigned files to a reasonable resolution. Strong multi-jurisdictional litigation experience required. This position will have a full pending count upon completion of training. This position is remote and requires the ability to work independently.
Overall Responsibilities: Describe the overall job responsibilities (including any decision-making authority) for this position.

• Ensure that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
• Interview insureds, claimants, witnesses and investigate loss details as required.
• Adjust complex injury claims.
• Review police reports, lease agreements, releases, Proof of Loss, lawsuits, etc.
• Confirm and evaluate coverage, including coverage dates and appropriate limits, terms and conditions, insuring agreements, etc. Document the file relative to the coverage analysis and prepare any coverage position letter required (i.e. ROR, Denial, Tender Letter, etc.).
• Assign claim to outside appraiser or adjuster with instructions for investigation and evaluation as needed.
• Ability to work collaboratively with Defense Counsel to direct files in litigation.
• Review reports from adjusters and/or appraiser and evaluate, make judgments, and formulate action plans to carry claim to final disposition.
• Evaluate all key components of the claim and formulate plan to carry file to conclusion. This includes applying appropriate coverage application, liability analysis, Injury/Damage analysis, settlement value range and action plan to resolve the file.
• Sets reserves within authority or makes claim recommendations concerning reserve changes to next level manager.
• Negotiate claim to conclusion with the insured, the claimant, or legal representatives, as needed.
• Manage litigated files to conclusion. This includes, but is not limited to; assigning counsel, managing counsel assigned to the case in connection with our Litigation Guidelines and handling all attorney assigned files in connection with our Best Practices.
• Secure all required closing documents from the insured, claimant, lien holder or other parties as needed.
• Ensure Claims payments are issued in a timely and accurate manner.
• Analyze and interpret medical reports, review medical bills, and formulate settlement evaluations.
• Identify files with subrogation potential and refer files to Subrogation Representative for evaluation and pursuit of potential subrogation claim.
• Document file activity notes and prepare written reports and letters as required.

Required Experience: Include necessary skills/experience and core competencies required.

• Minimum 5-10 years claims experience or equivalent combination of education and experience.
• Candidate with Commercial Auto, General Liability and Property experience is preferred.
• Minimum of 5 years of directing and handling Litigated Claims.

Education Requirement
Bachelors Degree in Business, Accounting, or related experience preferred.
Adjuster's License or willing to achieve licensure within six months of hire.

*The above job description is not intended to be an "all-inclusive" list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job.

Pay is $90k to $100k/yr. plus bonuses
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits provided directly by client as this is Direct Hire
ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

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