General Liability Adjuster

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

📋 Description

• Evaluate mid- and upper-level general liability claims to ascertain due benefits.

• Ensure consistent adjudication of claims in line with company standards and industry best practices.

• Identify claim subrogation opportunities and negotiate settlements.

• Collect information to assess liability exposure.

• Assign reserve amounts, process claims payments, and settle claims within the designated authority level.

• Evaluate liability and resolve claims accordingly.

• Approve and manage assigned claims and develop action plans in accordance with the claim or client contract.

• Communicate claim-related actions with claimants and clients.

• Ensure proper documentation of claim files and accurate claims coding.

• Process complex lifetime medical and/or defined period medical claims as necessary, including state and physician filings and treatment decisions.

• Foster professional relationships with clients.

• Support organizational quality initiatives.

• Perform other assigned tasks.

• Travel as needed.

⛳️ Requirements

• Bachelor's degree from an accredited college or university is preferred.

• NY license is required.

• A minimum of four (4) years of claims management experience or an equivalent combination of education and experience is necessary.

• Expertise in relevant insurance principles and laws, recoveries, offsets and deductions, claim and disability duration, cost containment principles, medical management practices, and Social Security and Medicare application procedures as applicable.

• Excellent oral and written communication skills, including presentation abilities.

• Proficient in PC operations, including Microsoft Office applications.

• Strong analytical and interpretive capabilities.

• Exceptional organizational skills.

• Good interpersonal abilities.

• Outstanding negotiation skills.

• Capacity to work effectively in a team setting.

• Ability to meet or exceed service expectations.

• Capacity to manage work-related stress, multiple priorities, and deadlines.

• Skilled in computer keyboarding.

• Travel as necessary.

🏝️ Benefits

• Work-life balance.

• Supportive culture.

• Opportunities for career advancement.

• Equal Opportunity Employer.

• Drug-Free Workplace.