Senior Claims Adjuster-APH
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AI Summary
JOB DESCRIPTION
A.G. Risk Management, Inc. is a growing and dynamic business operating in the global insurance and reinsurance market, focusing on the Property & Casualty (P&C) market. We currently have offices in Philadelphia, PA, Quincy, MA and Buffalo, NY. We have ambitious expansion plans and are looking to recruit determined and enthusiastic people to join our hard-working team.
We are currently seeking a Senior Claims Adjuster to handle complex latent liability claims (asbestos, environmental, molestation, etc.). Past experience in managing these types of claims is essential. Option for on site or remote work location.
Summary of Responsibilities:
- Provide claims handling on complex/latent claims in compliance with claims handling procedures, client SLA, and within agreed authority levels, including accurately capturing and updating claims data/information in compliance with best practices.
- Apply knowledge and judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law, determining existence of coverage and the applicability of such coverage to claims presented.
- Work to reach a timely resolution to claims by developing case strategy, including developing a case evaluation and escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.
- Negotiate settlement of claims by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits; know when to escalate due to severity and complexity.
- Deal effectively with litigation by liaising with internal and external legal counsel; establish litigation plan and budget; coordinate defense activities; review litigation expenses and authorize payments.
- Apply knowledge and judgement to determine appropriate reserve levels to set in respect of identified liabilities.
Qualifications/Skills:
- Resilient and flexible, with the ability to adapt to short/changing deadlines.
- Effective and confident communicator and able to effectively and confidently manage multi-party relationships and complex claim negotiations.
- Self-motivated and able to motivate others.
- Maintains professional and technical knowledge through training, networks and professional qualifications.
Education and Experience:
- Minimum of 5 years’ experience in a similar claims handling role gained within the insurance industry, or a licensed attorney with comparable experience in toxic tort, asbestos, hazardous waste, environmental, and/or molestation matters seeking to transition into the insurance industry.
- Appropriate state adjuster licensing will be required, and the selected candidate, if not already licensed, will be required to undertake license testing and procure the necessary licenses shortly after commencement of employment.
- Degree-educated, ideally with insurance or legal qualifications and/or a J.D. degree.
- Knowledge and experience gained from handling long-tail latent liabilities.
- Accurate and reliable, with excellent attention to detail and an analytical approach.
- Production of high-quality written work product is essential.
Special Requirements:
- Possible occasional requirement to work from different office locations in the U.S. to meet with colleagues as needed.
- Location: Philadelphia, PA or Quincy, MA area preferred, but willing to hire in any other U.S. states with an EST time zone.
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