Claims Adjuster

Key Responsibilities

• Act as a technical expert for own team, and internal business partners, and provide insights to help improve product offerings, risk assessments, and policy language.
• Assess damages and negotiate the settlement of the claim by establishing an appropriate negotiation strategy.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
• Use judgment to verify policy and determine coverage by analyzing applicable coverage for claims.
• Work to have a timely resolution to claims by developing a case strategy, developing a case evaluation, and escalating issues as appropriate.
• Ensures customer service by proactively communicating information, responding to inquiries, and following customer service protocols.
• Contributes to profitable growth by providing risk insight, information, and trends to the Business Unit or customer as needed.

Requirements

• Bachelor’s Degree (or equivalent) in Business, Insurance, or related fields.
• 5+ years of experience within a Claims Operation environment.
• Must have a Certificate/ Diploma/ Associate – CII/ CILA.
• A sound understanding of the commercial insurance business is essential.
• Strong negotiation skills combined with an investigative ability.
• Fluency in the English language skills, both written and spoken.