Senior Claims Adjuster

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Remote, FL

Reporting To: Natalie Bowen

Compensation: $80,000 - $85,000 / year

Description

Key Responsibilities

• Conduct prompt, accurate investigations of liability claims, interview all relevant parties to obtain loss events facts and to establish liability; handle claims files to final resolutions.
• Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values. 
• Interact extensively with various parties involved in the claim process.
• Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client per account handling guidelines.
• Handle claims consistent with best practices, client and company policies and procedures and also in accordance with statutory, regulatory and ethical requirements.
• Document and communicate all claim activity timely and effectively which supports the outcome of claim files, in accordance with established procedures; develop and maintain a progressive plan of action.
• Utilize a system diary system effectively and appropriately to keep claims files current.
• Create, edit, and/or revise correspondence to other parties as necessary.
• Effectively identify, evaluate, and handle risk transfer on liability claims.  
• Identify and notify responsible third parties of their potential exposures and follow up for reimbursement of amounts owed to clients.
• Examine and address claim files reserves for accuracy.
• Prepare for and assume lead roles in collaboration with defense counsel during mediations, arbitrations and trials.
• Formulate problem-solving platforms to plan, organize and negotiate claim resolutions, timely and with maximum cost efficiency, for service to the client.
• Produce and review prepared and on-demand claims and status reports with the client.
• Maintain current knowledge of laws and statutes pertinent to liability claims handling, maintain CEUs and licensing in current and/or active status, as appropriate.
• Perform other duties as assigned. 

Skills, knowledge & expertise

• Experience handling all aspects of liability claims and subrogation.
• Extensive knowledge of applicable statutes accepted industry standards, and practices. 
• Ability to successfully and skillfully negotiate the settlement and disposition of claims, including the ability to interpret related documentation. 
• Ability to effectively operate a personal computer and related claims and business software. 
• Must be able to attend and effectively participate in mediations, claim reviews, and status meetings with the client as necessary.
• Must be self-directed and able to work independently.
• Good communication skills, both oral and written; good customer service skills.  
• Assertive self-starter with excellent organizational skills, fast and accurate, team player.  
• Demonstrated experience managing complex, litigated, and high-severity claims

• Active Florida All-Lines Adjuster License (5-20 or 6-20).
• A minimum of five years handling all aspects of liability claims and subrogation with a consistent high level of performance and achievement. 
• General liability, auto liability, complex and professional liability claims experience required.   

• Bilingual (Spanish).
• Experience handling Public Entity claims and exposures. 
• Industry designations such as AIC, CPCU, or equivalent.

Equal Employment Opportunity & Legal Notices

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
• Paid holidays
• Life insurance and short‑term and long‑term disability coverage

• Maintain regular and dependable attendance.
• Be available and able to perform job responsibilities during established work hours.