Multi-Line Claims Adjuster
Our client has Retained The Carlisle Group to conduct a Search for a Multi-Line Adjuster in their Delaware office. This position will allow remote work 3 days a week.
Job Requirements:Job Responsibilities Include:
- Verify coverage
- Assign new losses to independent adjusters.
- Review independent adjuster reports, bills and fee schedule through Imaging. Determine investigation needed, evaluate information to adjust reserves or settle claims.
- Flag to Underwriting Department for adverse risk information.
- Request payments - losses and expenses.
- Process reserve changes.
- Request public adjuster licenses and retainers.
- Maintain current diary in Imaging on all files and request NJ Unfair Claims letter as appropriate.
- Answer insured and Agent inquiries for status and coverage.
- Issue coverage denials with manager approval, non-waivers or Reservation of Rights letters and all other written correspondence as appropriate.
- Issue statute to file suit letters.
- Comply with NJ Unfair Claims Act and Claims Ombudsman standards.
- Maintain adjuster, expert and attorney lists.
- Notify reinsurers of property and liability treaties, reserves and payments.
- In House Claims
- Send out appropriate forms.
- Review documentation.
- Set and update reserves as needed.
- Work with replacement companies.
- File CIB and Section 111 info, or PILR.
- Take recorded statements as appropriate.
- Finalize settlements with appropriate documents.
- Request settlement checks.
- Have professional telephone skills.
- Handle claims through Imaging Workflow including diary, mail review and 1st Reports.
- Import adjuster reports and subro attorney reports received via e-mail into Imaging System.
- Keep abreast of any trends in claims that impact handling.
- Handle 1st party litigation filed by our insureds. Work with attorneys for EUO and Subro. Monitor case and participate in discovery and decision making. Knowledge of NJ Court System.
- Identify subrogation potential and utilize property inter-company arbitration to resolve claims in all subro cases where applicable.
- Handle 3rd party files in litigation. Monitor case and participate in discovery and decision making. Knowledge of NJ Court System, comparative negligence and Title 59.
- Be able to evaluate medical specials, lost wages and liability in order to negotiate and settle claims.
- Knowledge of building and medical terminology.
- Complete Claims Education courses as outlined in your yearly goals.
- Deliver timely, quality customer service in all aspects of job position.
- Others jobs as assigned.
Education or Equivalent Job Experience:
- College Degree or 1-3 years insurance related exposure and/or insurance courses required.
