Large Loss Risk Adjuster
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Job Description
Large Loss Risk Adjuster evaluating severe, complex claims for National General, a specialty personal and commercial insurer. Granting settlement authority and guiding litigation and coverage decisions.
Responsibilities:
- Grant settlement authority on highly complex claims valued above Market Claim Office and Regional Claim Office limits
- Provide recommendations on trial requests for cases exceeding Market Claim Office authority
- Provide general oversight of large losses for designated CSAs
- Provide discretionary referrals on coverage issues, opinions, and research
- Approve Closed Without Payment requests where liability is disputed and value exceeds Field authority
- Perform file reviews for complex projects and litigation cases
- Analyze data and report findings
- Review cases to determine whether Closed Without Payment is appropriate
- Support the Field with discretionary referrals on complex coverage issues
- Engage Home Office Claim litigation for involvement and direction as needed
- Review coverage, liability, and damages on highly complex cases
- Collaborate with Field leadership on next steps and feedback
- Share experience and trends with Frontline Performance Experts, Frontline Performance Leaders, and Claim Process Specialists
- Work with Product, Protection, Law, and Claims on new products
- Develop Claim Bulletins covering new forms and endorsements affecting claim handling practices
- No supervisory duties
Requirements:
- Experience handling large loss claims
- Ability to evaluate complex exposures
- Ability to investigate liability
- Ability to manage claims through resolution
- Experience handling severe injury claims
- Ability to collaborate with stakeholders
- Ability to make sound claim decisions in a fast-paced environment
- Candidates must possess authorization to work in the United States
- Active insurance license holders must terminate all existing appointments before onboarding and must not hold outside appointments during employment
- Applicants with a resident producer license must formally surrender that license when instructed by the licensing team
- Dedicated, private workspace free from distractions when working from home
- Reliable internet with minimum speeds of 50 MB download and 5 MB upload
Benefits:
- Comprehensive technology setup including a laptop, monitors, headset, keyboard, and mouse
- Monthly connectivity reimbursement for employees eligible to work from home
- Work-from-home arrangement
- Equal employment opportunity protections
- Application assistance or accommodation available
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