Description
General Liability Claims Adjuster Needed for Premier Third-Party Administrator
Work-From-Home
Comprehensive Benefits Package
- Medical, Dental, Life Insurance – effective on start date
- 401k
- Paid Time Off Program
- Company Paid Holidays
- And Much More!!!
Job Description:
Claim metrics must be kept current. Handle a case load commensurate with the complexity level of claims assigned. Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud and appropriate use of authorized vendors. Also includes timely and appropriate reserve analysis and report completion. Ability to attend conferences, client meetings, mentor other adjusters and assist management as requested. All file handling must be within state statutes, Client Claims Handling Guidelines and NARS Best Practices. Other miscellaneous duties as assigned, which may include travel.
Qualification Requirements:
Education / Licensing:
- High School Diploma or equivalent required, 2-year degree or higher preferred.
- 3+ years of prior claim adjusting experience or have successfully completed the NARS Claims Trainee program.
- Must possess an active New York Adjuster’s License.
- Must possess or have the ability to obtain, a Florida Adjuster’s License or other required jurisdictional licensing.
Technical Skills:
- Requires ability to negotiate claims and to direct litigation.
- Must have interpersonal skills to handle sensitive and confidential situations and information.
- Requires ability to negotiate claims and to direct litigation.
- Must have negotiation and litigation skills for significant work with attorneys and arbitration on first and third- party claims.
- Requires ability to work independently.
- Requires organization and time management skills.
- Must possess written and verbal communication skills.
- Must be able to explain and appropriately respond to auditors, clients, and potential clients during in-person presentations.
Abilities:
- Requires long periods of sitting.
- Must be willing to attend local NARS office meetings, on occasion.
- Requires working indoors in environmentally controlled conditions.
- Requires lifting of files and boxes up to approximately 20 pounds.
- Repeated use of a keyboard, mouse, and exposure to computer screens.
- Requires travel for mediations, as assigned.