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AvonRisk · 3 weeks ago

General Liability Claims Adjuster III

United States

Full-time

Remote

Mid, Senior Level

$95K/yr - $101K/yr

5+ years exp

AvonRisk is seeking a General Liability Claims Adjuster III who will investigate, evaluate, and adjust assigned claims, including complex litigated claims. The role involves assessing liability, compiling information, and maintaining records while ensuring compliance with regulatory requirements.

CommercialRisk ManagementService Industry

Responsibilities

Investigate, analyze, and determine the extent of the client’s liability concerning personal, casualty, or property loss or damages

Correspond with or interview employees of the client, medical specialists, agents, witnesses, or claimants to compile information

Obtain all necessary reports and documents to analyze and evaluate the loss or damages and attempt to effect settlements with claimants when appropriate

Assess and estimate vehicle damage or property damage

Compile information through interviews

Obtain various client records

Evaluate customer records

Examine evidence to determine if it will support claims

Search legal records

Interview, telephone, and/or correspond with claimants and witnesses

Assist with business or managerial research

Follow contract, property, or insurance laws

Follow rules of evidence procedures in a legal setting

Gather physical evidence

Inspect properties to determine damages

Research property records

Review insurance applications or contracts

Review insurance policies or memorandum of coverage to determine appropriate coverage

Obtain, review, and evaluate records; police, medical, etc

Recommend claim action

Properly reserve for the claim

Adjust reserves as appropriate

Comply with accepted guidelines regarding reserving practice and authority levels

Maintain records, reports, and files which are primarily found on the CMIS

Comply with all reporting requirements and steps set out in the Company Procedure Manual

Comply with regulatory requirements

Maintain all cases on an active diary on the CMIS pursuant to established Company criteria

Prepare timely reports for clients

Document spoken or written information on the CMIS

Collect evidence to support contested claims in court

Select and manage defense and coverage counsel

Select and manage experts

Keep clients advised

Provide direction to defense counsel in managing litigated cases

Attend litigation hearings including settlement conferences and mediation, requiring travel that could exceed two hour each way

Qualification

Claims management softwarePublic entity liability claimsInsurance claims experienceMicrosoft WindowsVideo conferencing toolsWritten communicationVerbal communication

Required

Possess comprehensive knowledge relating to the handling of public entity liability claims

At least five (5) years' experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities (JPAs)

At least three (3) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook (please take out PowerPoint)

At least two (2) years of using streaming video conferencing including Teams and Zoom with the ability to set and host group meetings with all included functionality

At least two (2) years of using claims management software and/or ability to quickly learn new software systems related to claims management

Excellent written and verbal communication skills