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Stillwater Insurance Group · 2 weeks ago

Casualty Claim Adjuster - Jacksonville, Omaha or Jericho

Jacksonville, FL

Full-time

Onsite

Mid Level

Stillwater Insurance Group is a mid-sized national insurance provider offering a variety of home, auto and commercial insurance products. As a Casualty Claim Adjuster, you will manage the entire lifecycle of insurance claims, ensuring prompt and professional resolution while focusing on customer service and effective communication.

Auto InsuranceInsuranceProperty Insurance

Responsibilities

Research, investigate, determine and apply coverage on losses covered by a broad range of residential and commercial coverage forms and policies marketed in 50 separate states. verification and detailed analysis of applicable policy/endorsement contract language in comparison to claim facts

Promptly resolve all open coverage questions through the investigation process while protecting Stillwater’s rights and defenses under its forms

Perform sophisticated analysis of damage, liability and coverage questions; write and compose position papers, resolution plans and correspondence timely

Ability to generate original composition non-waiver, reservation of rights letters, disclaimers, partial and complete, and other letters material to claim resolution

Utilizing the telephone, communicate timely and professionally with all party’s material to the claims process. Take telephone calls as they come in regardless of other activities. Return calls to all parties within one hour

Think strategically to match the best claim adjusting resource to the claim handling opportunity. This may include the use of remote photo capture applications, remote claim measurement applications, independent adjusters, non-adjuster resources, etc

Act swiftly and affirmatively, execute timely appropriate action, when needed, to resolve problems

Ensure enterprise financial accountability through timely and adequate claim and expense reserving practices:

Determine claim values based upon claims handling experience, acquired documentation, legal liability, causation, jurisdictional matters while applying your good judgment

Adjust reserves according to projected claim development

Timely initiate, conduct, and complete investigations on both transfer and claims assigned from the ground up:

Complete detailed investigations, at appropriate levels for the individual claims, for the questions, issues, documents, experts needed, and tasks involved to accomplish or facilitate a prompt investigation

Provide written task instructions and supervision of outside resources when appropriate

Ensure claim files contain sufficient documentation to justify all coverage, liability, damage and claim resolution decisions

Recognize and apply fraud indicators and, when justified, refer to S.I.U

Collaborate closely with SIU unit and its investigators

Identify and initiate timely pursuit of all subrogation and salvage recovery opportunities

Follow supervisory guidance on managing the legal expenses of defending and resolving lawsuits as well as avoiding unnecessary litigation:

Handling of disputed claims include settlement involving AOBs, CRNs, NOIs, demands, and other disputes

Draft and timely complete necessary claim narrative reports to the claim files, reinsurers, and claims management

Master the litigation process for both first- and third-party losses

Strategize and create litigation action plans designed to resolve claims as expediently and by means of the lowest loss cost model

Negotiate directly and effectively with the stakeholders and others with authority to settle

Perform bodily injury evaluations projecting likely settlement and verdict ranges based on the claim’s investigation

Use the litigation process sparingly while leveraging your investigative and negotiation skills to resolve claims

Qualification

PropertyCasualty policiesLoss reservingDamage estimatingMS ExcelAnalytical skillsInvestigation skillsCustomer service skillsCommunication skillsProblem-solving skillsDecision-making skillsTime management