
Senior Adjuster β Field Service Claims
Posted Jul 29

Posted Jul 29
This is a fully remote position, open to applicants in Ohio.
β’ Oversee field property claims independently, including those that necessitate external investigations and catastrophe (CAT) response.
β’ Conduct comprehensive investigations, evaluate coverage, and produce necessary documentation such as reservation of rights and coverage letters.
β’ Recognize and actively seek opportunities to transfer risk to the relevant parties.
β’ Keep detailed and thorough claim records, ensuring compliance with jurisdictional requirements and proper documentation.
β’ Appropriately identify and assign subrogation potential; create files to support effective recovery initiatives.
β’ Ensure that all claims activities align with regulatory and company standards.
β’ Investigate and handle suspicious claims utilizing advanced techniques and tools.
β’ Set reserves, approve payments, and make financial decisions within designated authority.
β’ Collaborate with internal and external parties, including legal, underwriting, vendors, and agents.
β’ Utilize advanced tools and analytics to identify trends, rectify discrepancies, and enhance claims handling efficiency.
β’ Provide empathetic and clear communication throughout the claims process.
β’ May act as a representative for the company in mediations, arbitrations, and trials.
β’ Bachelorβs degree or equivalent experience in claims handling.
β’ Generally requires 5β10 years of experience in adjusting.
β’ Strong understanding of local geography, regulations, and public safety organizations.
β’ Proficient knowledge of relevant statutes, regulations, case law, and third-party legal liability concepts.
β’ Expert in negotiation and crafting strategies to influence outcomes.
β’ Communicates effectively and clearly in both verbal and written forms across diverse situations.
β’ Highly organized with the capacity to manage intricate workflows and project tasks.
β’ Makes informed decisions based on comprehensive analysis of complex issues.
β’ Ability to collaborate with both internal and external specialists, including legal, underwriting, and other stakeholders.
β’ Capable of quickly assessing customer concerns and anticipating inquiries.
β’ Must possess and maintain the requisite state adjuster licenses, continuing education credits, and a valid driver's license.
Behavioral Health Works, Inc.
Sodexo
Sodexo
EVERSANA
Get handpicked remote jobs straight to your inbox weekly.