Senior Large Loss and Litigation Adjuster
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Job Description
Senior Large Loss and Litigation Adjuster managing high-value bodily injury claims and overseeing litigated matters. Responsible for evaluating claims, negotiating settlements, and mentoring junior adjusters.
Responsibilities:
- Evaluate and manage bodily injury claims from initial reporting to resolution including litigation, ensuring compliance with company policies and legal requirements.
- Conduct thorough investigations to assess the nature and extent of injuries, gathering relevant documentation and evidence.
- Assess and manage extra-contractual claims, ensuring proper documentation and adherence to legal and regulatory standards.
- Collaborate with medical professionals, legal teams, and clients to develop a comprehensive understanding of each case.
- Keep policyholders informed throughout the claims process, providing regular updates and addressing any questions or concerns they may have.
- Negotiate settlements with claimants and their representatives in accordance with company policies and regulatory requirements, striving for fair and equitable outcomes.
- Prepare detailed reports and documentation to support claim evaluations and settlement negotiations.
- Monitor case developments and provide updates to management and stakeholders as necessary.
- Collaborate with internal parties, legal counsel, and management, to resolve complex claims and mitigate risk.
- Maintain accurate and detailed claim files, documentation, and activity logs in accordance with company standards and industry best practices.
- Stay current with industry trends, regulations, and best practices in bodily injury claims management.
- Train and mentor junior staff on claims handling processes and strategies.
Requirements:
- A bachelor's degree or comparable insurance experience.
- A minimum of 10 years of experience in bodily injury claims adjusting, including extra-contractual claims.
- Extensive litigation and legal knowledge.
- Strong knowledge of insurance principles, policies, and procedures.
- Enhanced knowledge of medical terminology, anatomy, and injury assessment.
- Excellent analytical and decision-making skills with the ability to assess complex issues and negotiate fair settlements.
- Proven negotiation and communication skills, with a track record of successful settlements.
- Ability to analyze complex information and make sound decisions.
- Proficiency in claims management software and Microsoft Office Suite.
Benefits:
- Health insurance
- Retirement plans
- Paid time off
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