Job Description

Job Title: Complex Commercial Claims Adjuster

Job Summary:
The Complex Commercial Claims Adjuster will be responsible for managing a caseload of complex bodily injury claims, including those involving catastrophic injuries and fatalities. This role requires strong expertise in handling litigation, including product liability, construction defect, and liquor liability claims. The ideal candidate will have a minimum of 5 years of experience in the claims industry, with proficiency in tort law, insurance coverage, and legal procedures. In addition to managing claims, this individual will mentor and train junior adjusters, ensuring that team members are equipped with the knowledge and skills necessary to handle complex claims effectively.

Responsibilities:

• Manage a portfolio of complex commercial claims, including bodily injury claims and those involving catastrophic injuries or fatalities.
• Interpret and evaluate medical records, accident reconstruction reports, and legal filings.
• Act as a department trainer for complex injury claims and litigation processes.
• Conduct thorough investigations, including reviewing police reports, medical records, expert evaluations, and witness statements.
• Assess liability, damages, and coverage to make strategic claim decisions.
• Collaborate with legal counsel in litigation management, including attending mediations, depositions, and trials as required.
• Negotiate settlements within authority limits, balancing cost efficiency with claim resolution.
• Maintain effective communication with policyholders, claimants, attorneys, and other parties involved in claims.
• Ensure compliance with company policies, regulatory requirements, and industry best practices.
• Provide recommendations on reserve adjustments based on claim developments and findings.
• Report high-exposure claims and potential risks to management in a timely manner.
• Ensure the accuracy and completeness of claim documentation in the claims management system.
• Prepare detailed reports and recommendations for management and reinsurers on complex claims.
• Stay informed of industry trends, legal changes, and best practices related to claims handling.
• Pursue ongoing professional development, including relevant certifications such as CPCU, AIC, or SCLA.

Qualifications/Requirements:

• Minimum of 5 years of experience handling complex bodily injury claims and litigation, specifically in commercial or personal lines insurance.
• Proven experience with product liability, construction defect, and liquor liability claims.
• In-depth knowledge of tort law, insurance coverage, litigation procedures, and negotiation strategies.
• Strong communication skills, both verbal and written.
• Exceptional organizational and time-management skills, with the ability to manage a large caseload efficiently.
• Ability to mentor and train junior adjusters, fostering a collaborative team environment.
• Bachelor's degree or AIC designation (or equivalent).

Compensation Package:

• Compensation: Between $90K-$120K (based on experience).
• Competitive benefits package, including health insurance, 401(k) with company match, paid time off, professional development opportunities, and more.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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