Job Description

Complex Case Unit Specialist

Job Summary

Seeking a highly skilled and experienced professional to join a Complex Case Unit. This role involves managing and resolving complex commercial claims and coverage issues with significant exposure. The ideal candidate will possess advanced technical knowledge, exceptional problem-solving skills, and the ability to collaborate effectively with internal and external stakeholders. This position offers an opportunity for career growth and advancement within a supportive and innovative work environment.

Compensation Package

• Competitive salary: $110,000 - $120,000 annually

Responsibilities

• Verify coverage and coverage primacy for new losses.
• Adjust complex claims with significant exposure, including investigation, evaluation, negotiation, and resolution within authority levels.
• Evaluate and implement solutions for problematic files.
• Collaborate with internal teams on complex coverage issues and claims resolution.
• Manage and oversee independent adjusters and attorneys, including those defending insured parties.
• Represent the company at mediations and trials.
• Communicate professionally with insured parties, claimants, agents, attorneys, and reinsurers.
• Establish and maintain reserves, providing consistent updates to management.
• Assist in developing technical knowledge within the department.
• Serve as a resource for team members and assist in training new employees as assigned.
• Perform additional duties as assigned by management.

Qualifications/Requirements

Education/Training:

• Bachelor’s Degree required.
• Professional insurance designation preferred.
• Adjuster licensing required.

Experience/Skills:

• Minimum of 10 years of experience adjusting bodily injury claims.
• Experience in adjusting commercial auto claims required.
• Preferred experience in adjusting transportation (trucking) liability claims.
• Advanced knowledge of insurance and tort law, legal principles, and medical terminology.
• Proficiency in insurance coverage and claims processes.
• Intermediate computer skills, including word processing, spreadsheets, databases, and email.

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. 

#LI-JF1