Job Description

Job Description

About the Role:

The Claims Adjuster plays a critical role in assessing, negotiating, and resolving complex insurance claims involving personal, casualty, and property losses. This position requires strong analytical and investigative skills, as well as the ability to communicate effectively with various stakeholders throughout the claims process. Ideal candidates bring a balance of technical knowledge, interpersonal savvy, and sound judgment to every claim they handle. The role is best suited for someone who thrives in a collaborative, dynamic, and detail-oriented environment.

Responsibilities:

• Investigate, evaluate, and determine coverage and liability for various claim types
• Conduct interviews with insureds, witnesses, agents, medical providers, and other involved parties
• Analyze police reports, medical records, and other documents to establish claim details
• Maintain timely and professional communication with insureds to gather necessary information
• Negotiate settlements within authority levels or recommend litigation when needed
• Document all claim activity clearly and accurately in the system of record
• Collaborate with internal and external counsel, adjusters, and vendors to resolve claims
• Review and apply relevant case law and legislation impacting current claims
• Deliver concise reports with findings, recommendations, and settlement proposals
• Ensure compliance with all applicable regulations and internal standards
• Manage claim caseload efficiently while prioritizing urgency and accuracy
• Follow up as needed to drive claim resolution and maintain positive outcomes
• Participate in internal training and development programs
• Support continuous improvement efforts across the claims team
• Perform other related duties as required

Qualifications:

• 3+ years of experience in claims handling, preferably in property and casualty insurance
• Knowledge of E&S (Excess and Surplus) lines preferred
• Strong analytical, investigative, and negotiation skills
• Excellent written and verbal communication abilities
• Ability to interpret complex documentation, including legal and medical reports
• High attention to detail and commitment to confidentiality
• Bachelor's degree preferred but not required
• Property and Casualty Adjuster License (or willingness to obtain within six months)
• Familiarity with claim management systems and regulatory guidelines
• Self-motivated, organized, and capable of working independently and cross-functionally

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