Senior Claims Adjuster

Job title
Liability & Property Insurance Senior Claims Analyst

Salary Band
$75,000.00 - $105,000.00 per year

Job Type
Full-time

Job description

County Risk Services, Inc., a captive third-party administrator for a public entity self-insurance risk pool, is seeking a highly qualified, team-oriented member for its Liability & Property Senior Claims Analyst position.
Experience or familiarity with self-insured risk pools, county government, political subdivisions is preferred.

The ideal candidate should be able to manage, investigate and analyze complex or technically difficult liability and property claims as assigned to determine liability exposure; manage the litigation process: possess a thorough understanding of state and federal immunities; experience with federal civil rights claims; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify claims with subrogation potential and negotiate settlements in a timely manner.

This position would also be responsible for accurate and timely claims-related billing and payment processing, and legal billing review and payment processing. The successful candidate will have proven themselves in the claims industry and be able to demonstrate their experience.

DUTIES MAY INCLUDE:

• Responsible for liability and property claims intake and file set up for assigned lines of coverage, including consultation with Claims Director on appropriate coverage
• Analyze, process and adjudicate complex or technically difficult liability and property claims including but not limited to general liability, law enforcement liability, employment practices liability, errors and omissions liability and cyber liability
• Ability to recognize coverage issues and prepare coverage position letters
• Investigate claims by interviewing Fund members, third party claimants, and witnesses; obtaining official reports; reviewing physical damage reports; and comparing liability and property claim information with the evidence collected
• Calculate and assign timely and appropriate reserves to liability and property claims and manage reserve adequacy throughout the life of the claim
• Coordinate vendor referrals for additional investigation
• Manage liability and property claims through well-developed action plans that facilitate an appropriate and timely resolution
• Manage the litigation process with client approved litigation guidelines and legal bill review
• Manage the timely and accurate processing of liability and property claims payments, including settlements and other accounts payable
• Negotiate settlement of liability and property claims within designated authority level and ensure timely and cost-effective liability and property claims resolution
• Manage liability and property claims recoveries, including but not limited to subrogation and excess recoveries
• Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of liability and property claims for our client
• Work with outside vendor on Section 111 reporting, conditional payments, and Medicare set-asides
• Responsible for reporting excess liability and property claims to reinsurers
• Refer cases as appropriate to supervisor and senior management

REQUIRED EXPERIENCE AND SKILLS

• Bachelor’s degree from an accredited college or university preferred
• Minimum of 10 years of liability and/or property claims experience or equivalent combination of education and experience required
• Alabama Department of Insurance all lines adjuster license preferred
• Professional certification as applicable to line of business preferred
• Working knowledge of liability coverages; GL, AL, LEL, E&O, EPL, EBL, Cyber Liability, and

Equitable Defense

• Should possess strong negotiation skills and interpersonal skills
• Excellent written and verbal communications skills
• Excellent presentations skills with the ability to present in front of a variety of audiences
• Experience retaining independent adjusters and monitoring their assignments a plus
• Subject matter expert of appropriate insurance principles and laws for line-of-business handled
• Must have experience with Medicare section 111 reporting, conditional payments, and set asides
• Must have ability to work with minimal supervision

PHYSICAL REQUIREMENTS

• May be required to climb stairs, and ladders
• Will be required to file, stand, reach, kneel or squat
• May be required to drive for extended periods of time

*Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this position. Duties, responsibilities, and activities may change at any time with or without notice.

County Risk Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Job Type: Full-time

Pay: $75,000.00 - $105,000.00 per year

Benefits:

• 401(k)
• 401(k) 7% Match
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Prescription drug insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office
• Remote

Application Question(s):

• Do you live in the state of Alabama?

Experience:

• liability claims adj. (not including property/auto claims): 10 years (Required)
• litigated claims files: 10 years (Required)

Location:

• Montgomery, AL 36104 (Required)

Ability to Commute:

• Montgomery, AL 36104 (Required)

Willingness to travel:

• 25% (Required)

Work Location: Remote