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Company

North American Risk Services (NARS) · 1 day ago

Commercial Property Claims Adjuster

Chicago, IL

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

Identify, analyze, and confirm coverage of COMMERCIAL properties.

Establish initial contact within parties and client within eight (8) business hours.

Contact appropriate parties and providers to determine liability, compensability, negligence, and subrogation potential.

Contact appropriate parties to obtain any needed information and explain benefits as appropriate. Provide information and maintain regular contact throughout the life of the file as appropriate.

Answer phones, check voice mail regularly, and return calls as needed.

Assist with training/mentoring of new Claims Adjusters.

Assist management when required with projects or temporarily handle assistant manager or manager duties as requested.

Refer all files identified with subrogation potential to the subrogation department.

Maintain closing ratio as dictated by management team.

Close all files as appropriate in a timely and complete manner.

Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate.

Identify cases for settlement.

Evaluate and negotiate liens.

Recognize and report potential fraud cases.

Develop and direct a litigation plan with defense attorney (if assigned), utilizing all defenses and tools to bring the file to closure. Ensure all filings and state mandated forms are completed in a timely manner. Litigated files must be diarized effectively based on current activity, but no greater than every 60 days.

Review claim files involving active litigation monthly at minimum, and document responses to filings, development of defenses, depositions, and timely referral to defense counsel.

Direct the actions of defense counsel on litigated files.

Attend mediations and trials as required for cost effective litigation management.

Establish ultimate reserves (anticipated cost to bring file to close based on known facts) promptly.

Pay all known benefits, ensuring they are paid in a timely manner according to state statute.

Verify all provider bills have been appropriately reviewed and paid within standard timeframes.

Report all serious injuries/liability issues and potential large loss claims to the client and/or reinsurer based upon the criteria provided by the client.

Must pass all internal and external audits, which include those performed by regulatory agencies, carriers, and clients.

Follow reporting requests as outlined by client files and NARS guidelines.

This role requires extended periods of computer screen usage for tasks such as data entry, research, and virtual meetings.

The ability to maintain focus and productivity while working for long hours in front of a screen is essential.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Commercial claim adjustingLitigation experienceAdjuster's licenseClaims investigationSubrogation managementCustomer service skillsData entryFraud identificationReport writing