Description
Active Adjusters License Required
We have positions open on our Complex Team:
- Work From Home
- Professional Growth Opportunities
- Comprehensive Benefits
- Medical, Dental & Vision Insurance – effective on start date
- 401k
- Paid Time Off Program
- Company Paid Holidays
- And Much More!
Job Description:
The Complex Claims Adjuster will:
- Ensure claim metrics are kept current.
- Handle a case load commensurate with the complexity level of claims assigned.
- Be responsible for establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination.
- Be responsible for the coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud and appropriate use of authorized vendors.
- Ensure the timely and appropriate reserve analysis and report completion.
- Attend conferences and client meetings, which may include travel.
- Mentor other adjusters as needed.
- Ensure all file handling is within state statutes, clients’ guidelines, and the company’s best practices.
- Assist management with other miscellaneous duties as assigned.
Qualification Requirements:
- High School Diploma or equivalent required, 2-year degree or higher preferred.
- 7+ years of prior claim adjusting experience, preferably in the line of business being handled.
- Must have 7+ years of heavy litigation experience for all other lines except Workers’ Compensation
- Must have 5+ years of Construction Defect or similar/related experience if handling that line of business.
- Must be eligible for reserve/payment authority level of $50,000+ when appropriate
- Must possess, or have the ability to obtain, a Florida Adjuster’s license or other required jurisdictional licensing.