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Glatfelter Insurance Group · 1 month ago

Sr. Liability Claims Adjuster

York, PA, US

Full-time

Onsite

Senior Level

5+ years exp

Glatfelter Insurance Group is a leading managing general agency in the U.S. seeking a full-time Sr. Liability Claims Adjuster to join their Claims Management team. The role involves direct handling of commercial auto and general liability claims, requiring investigation, evaluation, and resolution of complex liability claims while providing exceptional customer service.

Financial ServicesInsurance

Comp. & Benefits

Responsibilities

Handles and/or monitors registration and coverage verification of claims

Handles and /or directs the investigation, negotiation and disposition of claims as the claim dictates within authority limits. Knows or finds out who to contact to get information needed

Checks extra sources or takes additional steps to obtain and verify information or resolve ambiguities

Demonstrates proficiency in developing targeted questions to obtain specific information when contacting and interviewing all involved parties

Evaluates claims and reserves claims within authority limits. Independently gathers documentation to evaluate damages

Settles claims promptly and equitably utilizing various settlement techniques such as ADR. Obtains releases

Authorizes and/or issues checks

Identifies and reviews potentially serious cases with management; prepares and presents recommendations, including settlement versus defend-through-trial recommendations to coverage/reserve/settlement committees

Maintains a working diary system

Prepares reports to management, agents and bureaus as directed by management

Shares responsibility of selecting, monitoring and managing the network of independent vendors necessary to efficiently and effectively handle claims on a nationwide basis

Handles the timely assignment of independent vendors and assures efficient and cost effective use of vendors

Shares responsibility of selecting, monitoring and managing outside legal providers for pre-litigation and litigation needs, and aggressively and effectively implements litigation management practices

Attends mediations, hearings and trials as assigned by management

Interprets and forms opinion on coverage. Considers positions of all interested parties within intent of policy and program

Issues coverage letters. Approval of coverage letters to be obtained as per procedures established by management

Informs claimant, insured or attorney of denial of liability and justifies denial when applicable

Ensures prompt and proper disposition of claims with assistance of a meaningful diary system

Recognizes, investigates and aggressively pursues recovery or contribution possibilities

Identifies claims with suspicious characteristics and manages fraud investigation

Reviews losses with reinsurance carrier as required

Represents GIG and GCM through continuous countrywide contact with insured, carriers, agents, claimants, attorneys, vendors, etc

Performs other duties as required by management

Qualification

Liability claims experienceAIC designationInsurance policy interpretationLitigation managementAdvanced insurance knowledgeNegotiation skillsAnalytical abilityEffective communicationTime managementLeadership skills

Required

Bachelor's degree or equivalent transferrable industry experience required

Must hold current state adjusting licenses or pass licensing exams within an aggressive period of time

Ability to read and interpret insurance policies and make appropriate decisions grounded on those interpretations

Advanced knowledge of insurance coverage and procedures

Must have or obtain knowledge of GCM workflow and procedures and GIG products and services on a fast track basis

Well developed and practiced negotiation skills

Ability to communicate effectively, both orally and in writing

Must have or obtain a working knowledge of a PC and related departmental equipment, systems and software within an accelerated period of time

Must speak clearly and exhibit the ability to reason and impart information to others

Must be imaginative, innovative, self-motivated and able to make sound, rational decisions

Able to cope with constant interruptions while maintaining a high level of composure and concentration in difficult and complex situations

Uses analytical ability and independent judgment within guidelines established by management

Objective in identifying loss exposures and translating them to fair, equitable settlements

Ability to compose letters and reports explaining complex issues

Must be able to prioritize daily tasks and manage one's own time

Takes the initiative to continue professional development. Should have attained or be working on AIC designation

Demonstrates leadership in team process and contributes to improvements and the overall success of the assigned team to achieve unit, department and company goals