Commercial Casualty Litigation Adjuster

This is a fully remote position, open to applicants in Alabama, +22 more states.

📋 Description

• Designated as the responsible adjuster when injury exposure is recognized.

• Manages intricate first and third-party auto liability cases related to injuries, including complex litigated matters involving defense attorneys.

• May oversee first-party medical payment and Personal Injury Protection (PIP) claims.

• Accountable for managing, investigating, and negotiating claims, including working with defense counsel to devise negotiation strategies.

• Acts as the representative of the organization through phone communication or in-person attendance at mediations and settlement conferences for litigation claims.

• Engages directly with defense counsel, providing guidance, authority for resolution, and ensuring a balanced outcome regarding defense costs and indemnity on litigation claims.

• Makes coverage determinations and informs customers about the appropriate actions regarding coverage issues.

• Conducts complex investigative tasks (such as interviewing witnesses, obtaining and analyzing evidence, including medical records, and deciding if an independent medical examination is necessary).

• Guides defense counsel in both litigated and non-litigated claims.

• May necessitate representing the insureds at arbitration hearings and trials.

• May require providing testimony in a deposition setting.

• Assesses defense counsel fees and costs for reasonableness and resolves any discrepancies.

• Evaluates subrogation potential and initiates the initial notice of subrogation request.

• Makes final settlement decisions within the established authority, without the need for supervisory approval, and formulates negotiation strategies.

• Presents cases in committee settings when seeking settlement authority beyond the approved level; thereafter, independently negotiates and resolves the claim.

• Develops and delivers executive summaries on individual claims to external clients and internal executives in a virtual format to obtain alignment on next steps and settlements.

• Manages a variety of commercial product types, including but not limited to auto, fleet, last-mile delivery, and trucking.

• Will handle claims across most geographical regions.

• Oversees claims involving various vehicle types, which may include but are not limited to automobiles, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles.

• Understands and manages claims in accordance with applicable insurance program agreements and claim service level agreements.

• Plays a key role in the development of other adjusters through mentorship, training, and coaching.

⛳️ Requirements

• Over 6 years of claims experience.

• More than 3 years of experience in a Casualty claims position within the Property & Casualty (P&C) insurance sector.

• At least 1 year in a Senior Casualty role or equivalent complex casualty/litigation experience.

• BA/BS in business, insurance, or a related field, or an equivalent combination of education and experience.

• Must possess an Adjuster license for all relevant states or acquire the necessary license(s) within 90 days of assuming the position as a condition of employment.

🏝️ Benefits

• Eligibility for an annual bonus.

• 401(k) plan with a company match.

• Flexible workplace options.

• Opportunities for professional development.

• Paid time off.