34 applicants

Company

Adair Horne & Associates, Inc. · 2 days ago

Claims Liability & Litigation Manager

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

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Commercial InsuranceInsurance

No H1B

U.S. Citizen Only

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Responsibilities

Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.

Manage subrogation of claims and negotiate settlements.

Able to clearly communicate claim action plans and present plans for moving the case to conclusion.

Maintain professional client relationships.

Exercise proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim.

Interact extensively with various parties involved in the claim process.

Handle claims consistent with clients' and corporate policies, procedures and "best practices" and in accordance with any statutory, regulatory and ethics requirements.

Document and communicate all claim activity timely and effectively and in a manner which supports the outcome of the claim file.

Demonstrated ability to comply with carrier reporting and threshold requirements.

Able to recognize and pursue excess insurance recoveries.

Ability to handle a full case load with proven ability to handle cases of increased severity.

Periodically attend mediations as a representative of the insurance carrier.

Oversee scene investigations, including taking photographs & sketching diagrams, etc.

Manage files in litigation.

Qualification

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Independent Adjuster LicenseClaims Handling ExperienceFileTracTeamwork Ability

Required

High School Diploma.

Independent Adjuster License.

Appropriately licensed and/or certified in all states in which claims are being handled.

5 or more years related claims experience required.

Knowledge of accepted industry standards and practices.

Homeowners Liability, Auto Bodily Injury, and General Liability Claims Handling Experience.

Computer experience with related claims & business software (preferably FileTrac).

Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business.

Excellent oral and written communication, including presentation skills.

PC literate, including Microsoft Office products.

Analytical and interpretive skills.

Strong organizational skills.

Good interpersonal skills.

Ability to work in a team environment and independently with minimal oversight.

Ability to meet or exceed Service Expectations.

Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.

Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.

Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

Must be 18 years of age or older.

Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation.

Must be a US Citizen.

Must be willing to execute AHA’s Employee Agreement or Confidentiality and Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure.