Claims Adjuster Health Jobs (NOW HIRING)

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability, Professional Liability, or Employment & Public Officials Liability for a third-party claims adjuster position. As a claims adjuster you will investigate, evaluate, determine liability, negotiate, and settle assigned multi-line commercial claims in accordance with Network Adjusters' Best Practices. This position provides quality claim handling and exceptional customer service throughout the entire claims process while engaging in indemnity, expense & diary management.

CLAIMS ADJUSTER JOB DESCRIPTION:

Handle primarily third-party liability damage insurance claims with varying degrees of complexity and severity under General Liability, Professional Liability, and Employment Liability & Public Officials Liability coverages. This includes but is not limited to, third party property damage, bodily injuries, wrongful employment practices, wrongful acts, and professional liability claims handling.

CLAIMS ADJUSTER RESPONSIBILITES:

• Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients.
• Fulfill specific client requirements including reporting of claim details and analysis.
• Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements.
• Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.)
• Investigate facts to establish negligence, determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties.
• Manage liability and other claim types requiring specialized investigation and utilization of external experts in accordance with local laws.
• Establish and maintain appropriate claim and expense reserves in a timely fashion.
• Develop and continually update a plan of action for file resolution including maintaining an effective diary.
• Document claim file activities in accordance with established procedures.
• Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants.
• Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly.
• Determine settlement amounts based on independent judgment, application of applicable limits and deductibles.
• Negotiate settlements within authority limits.
• Identify subrogation opportunities.
• Meet all quality standards and expectations based on Best Practices.
• Assure compliance with state specific regulations.
• Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.

CLAIMS ADJUSTER QUALIFICATIONS:

• College/Technical degree or equivalent business experience.
• Minimum of 3 years of claims handling experience in either General Liability, Professional Liability, Employment Liability or Public Officials Liability.
• Obtain Adjusters licenses as required to meet business need.
• Complete continuing education to maintain licenses.
• Strong verbal and written communication skills.
• General software skills including MS Word, Outlook and Excel.
• Customer service and empathy skills.
• Solid analytical and decision-making skills in order to evaluate claims and make sound decisions.
• Excellent negotiation skills and ability to effectively handle conflict.
• Strong organization and time management skills.
• Ability to multi-task and adapt to a changing environment.
• Attention to detail, ensuring accuracy.
• Strong investigative skills and creativity to achieve optimal results.
• Ability to maintain confidentiality.
• Knowledge of Security Industry and/or Elevator Industry is beneficial.

CLAIMS ADJUSTER BENEFITS:

• Training/Development and growth opportunities
• 401(k) with company match / retirement planning
• Paid time off / company paid holidays
• Comprehensive health plans including dental and vision coverage
• Flex spending account
• Company paid life insurance
• Company paid long term disability
• Supplemental life insurance
• Opportunity to buy into short term disability
• Strong work/family and employee assistance programs

We have openings in Farmingdale, New York and Denver, Colorado. Remote work may be available for experienced candidates who meet the required criteria.

The starting salary for this position is $85,000 and up, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities.

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.