Senior Adjuster, Field Service Claims

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

📋 Description

• Manage field property claims independently, including those that necessitate outside field investigations and catastrophe (CAT) responses.

• Conduct comprehensive investigations, evaluate coverage, and prepare relevant documentation such as reservation of rights and coverage letters.

• Identify and actively seek opportunities to transfer risk to suitable entities for the advantage of insureds and business partners.

• Keep meticulous and detailed claim records, ensuring adherence to documentation and jurisdictional requirements.

• Recognize and appropriately assign subrogation potential; establish files to facilitate successful recovery efforts.

• Ensure compliance of all claims activities with regulatory and company standards.

• Execute jurisdictional compliance requirements while aiding others in understanding regulatory obligations.

• Investigate and manage suspicious claims utilizing advanced techniques and tools; refer to the Special Investigation Unit (SIU) as necessary.

• Set reserves, authorize payments, and make financial decisions within authorized limits, contributing to the accuracy and efficiency of reserving.

• Collaborate with internal and external stakeholders, including legal, underwriting, vendors, and agents.

• Leverage advanced tools and analytics to identify trends, rectify inconsistencies, and enhance claims handling efficiency.

• Stay vigilant regarding fraud indicators and regulatory reporting obligations.

• Mentor junior adjusters by offering guidance on complex claims, compliance, and litigation processes.

⛳️ Requirements

• Bachelor’s degree or equivalent experience in claim handling.

• Typically requires 5–10 years of adjusting experience.

• Strong understanding of local geography, regulations, and public safety agencies, with the ability to build rapport with insureds and navigate the insurance and legal landscape.

• Extensive working knowledge of applicable statutes, regulations, case law, and third-party legal liability concepts.

• Proficient in negotiation and formulating strategies to influence outcomes.

• Exhibits sound judgment and decision-making skills, particularly in litigation and compliance matters.

• Communicates clearly and effectively in both verbal and written forms across various situations.

• Highly organized with the capacity to manage complex workflows and project tasks.

• Proficient in using claims systems and the Microsoft Office Suite.

• Capable of swiftly assessing customer concerns and anticipating questions, while clearly communicating and translating complex and technical terms.

• Able to collaborate with internal and external experts, including legal, underwriting, and other stakeholders to ensure thorough evaluations.

• Equipped to thrive in a fast-paced, changing, or stressful environment.

• Able to perform work in a noisy or loud work environment.

• May need to maintain a sufficient home-based internet connection.

🏝️ Benefits

• Must hold and maintain appropriate state adjuster licenses, continuing education credits, and a valid driver’s license.

• Capability to perform fieldwork in adverse weather conditions.

• Ability to operate a motor vehicle for 4-5 hours per day and to enter and exit the vehicle numerous times throughout the day.

• Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as necessary for fieldwork.

• Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable.

• Ability to safely use a ladder to access roofs and maintain balance while inspecting them.

• Willingness to travel as required.