USI Insurance Services · 5 hours ago
Sr. TPA Liability Claims Adjuster
Bedford, NH
Full-time
Hybrid
Senior Level, Lead/Staff
$92K/yr - $109K/yr
10+ years expUSI Insurance Services is one of the largest insurance brokerage and consulting firms in the world, dedicated to providing comprehensive risk management and benefit solutions. They are seeking a Senior TPA Liability Claims Adjuster to handle claims, oversee a small team, and ensure compliance with regulatory guidelines while maintaining strong client relationships.
Commercial InsuranceConsultingEmployee BenefitsFinancial ServicesHealth InsuranceInsuranceRisk Management
Responsibilities
Senior level claim handler in a two-person department. Some oversight and coaching of Claims Specialist
(TPA) claims handling unit responsible for supervising, processing, paying and resolving Liability claims according to established policies and procedures and applicable legal and regulatory guidelines
Coordinate with state director in providing direction, setting goals, evaluating results and ensuring that overall goals are attained. Develops, assigns and monitors plans to ensure completion of goals and objectives and meeting deadlines
Ensures adherence to policies, procedures, standards and guidelines. Coordinates compliance with overall division guidelines as well as regulatory agencies
Schedule ongoing claims activities, including receiving client claims, research and information gathering, clients and others as needed, payment determination and ongoing claims administration. Reviews claims files to ensure appropriateness of payments to clients, policy compliance and timeliness of work. Determines staff diary dates and reviews notes for active lost time claims. Ensures proper implementation of established policies and procedures
Visits clients regularly and maintains strong business relationships to exchange information and contribute to ongoing renewal of business. Communicates regularly with production and customer service areas to exchange account status
Assists staff with complex aspects of work as necessary. Resolves escalated issues and problems by conferring with staff, management, other internal departments, outside contacts and clients as necessary. Performs claims and other activities personally as workload requires
Manages scheduling and assignment of work and other activities to ensure that key deliverables meet established guidelines. Assesses internal and external customer needs and manages activities to ensure services are delivered in the most efficient way possible
Reviews and evaluates activities on a regular basis, ensuring that established policies and procedures are being followed. Provides management with regular updates on performance; takes corrective action as necessary
Maintains knowledge of current developments in the TPA claims industry, including regulatory issues and guidelines; alerts staff to developments and develops recommendations for consideration with division management in reviewing policies and procedures. Shares information with staff as appropriate
Participates in civic activities to promote growth and development of the community and a positive image for the Company
Participates in special projects and performs additional duties as required
Contributes to a positive, ethical and respectful working environment and communicates openly with others. Models Company culture both internally and externally
Qualification
Required
NYS Department of Finance Services- Casualty General Adjuster License required
4-year degree or the equivalent combination of education and work experience required
10-15 years of Liability claims experience required. Auto and General Liability
Strong knowledge of Liability claims management
In-depth knowledge of legal and regulatory requirements
Ability to evaluate data and formulate claims strategy
Negotiation skills to resolve large claims at minimum cost
Ability to coordinate diverse individuals to resolve claims
Highly organized, with ability to manage work involving large client volume
Strong understanding of claims management technology applications
Excellent communication skills, both verbal and written
Continuing education required to maintain licensing
Ability to do sales presentations
Superior written and oral communication skills
Ability to work well in a team environment
Must have strong analytical thinking and problem-solving skills
Strong organizational skills required
Strong negotiation skills required
Minimal travel is required
Preferred
Municipal General Lines experience in NY is a plus
Benefits
Medical
Wellness
Dental and vision
401(k)
Flexible spending and health savings accounts
Short and long-term disability
Life insurance
Paid time off policy
Paid family leave benefit
Paid holiday time
Company
USI Insurance Services
USI Insurance Services is an insurance brokerage and consulting firm that delivers diversified insurance and financial services.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1BKey Investors
Kohlberg Kravis Roberts
2023-09-11Private Equity· $1B
2017-03-17Secondary Market
2017-03-17Acquired
Leadership Team
Stew Gibson
Senior Vice President and Chief Information Officer
Dave Petno
Vice President, Employee Benefits Consultant
Recent News
USI Insurance Services
2025-10-25
2025-10-21
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