Claims Casualty Adjuster

This is a fully remote position, open to applicants in Rhode Island.

📋 Description

• Manage low to moderate complexity claims related to material damage, property, and/or liability insurance lines.

• Engage and communicate effectively with insured parties, claimants, and other stakeholders.

• Articulate benefits, coverage details, fault assessment, and the claims process both verbally and in writing.

• Identify and address common coverage issues as they arise.

• Conduct investigations via phone and/or in the field to ascertain liability and damages.

• Participate in legal proceedings as necessary.

• Gather statements from insured individuals, claimants, and witnesses.

• Assess and establish claim values utilizing property, bodily injury, and liability data.

• Negotiate within settlement authority to resolve claims for both first and third parties.

• Perform administrative tasks and maintain updates on database production reports.

• Document and refresh claim files using company systems such as CACS, HUON, HOC, and Guidewire.

• Verify and interpret coverage, resolving coverage issues by collecting requisite information.

• Collaborate with internal and external departments as needed.

• Independently address claim exposures within designated authority levels.

• Swiftly respond to customer inquiries and issues.

• Ensure compliance with regulatory and statutory requirements, as well as internal technical and customer service best practices.

⛳️ Requirements

• Bachelor's degree or a combination of education and experience deemed equivalent.

• Preferred 4-6 years of experience in claims handling.

• Required 4-6 years of experience in property or casualty claims administration.

• Familiarity with claims best practices and procedures.

• Moderate understanding of building and vehicle repair methods.

• General knowledge of insurance principles, fault assessment, negligence, and subrogation.

• Proficient in Microsoft Office Suite, general computer software, and claims software.

• Advanced skills in organization and planning.

• Exceptional oral and written communication abilities.

• Strong interpersonal skills.

• Valid driver's license with an acceptable driving record from the Department of Motor Vehicles and state-issued minimum liability insurance (required).

• Associate in Claims designation from the Insurance Institute of America (preferred).

• An insurance/claims adjuster license may be necessary for claims administration in certain states (preferred).

• Willingness to travel occasionally to off-site business meetings or conferences (5%).

🏝️ Benefits

• Comprehensive health coverage including medical, dental, and vision.

• 401(K) savings plans with company matching contributions.

• Pension plan.

• Tuition assistance support.

• Floating holidays and paid time off for community volunteer initiatives.

• Paid parental leave benefits.

• Access to wellness programs.

• Employee discounts on memberships, insurance, travel, entertainment, services, and more!

• Incentive program based on the achievement of organizational, team, and individual performance goals.