Casualty Claims Adjuster Commercial Middle Market

Charles Taylor is building a Casualty Claim Practice focused on the Commercial Middle Market space.

We seek Senior to Executive Level Casualty Adjusted to play a crucial role in establishing this growth-oriented practice. Casualty Adjuster will drive all aspects of moderate to complex exposure causality claims in a variety of business classes across.

• General liability
• Product liability
• Liquor liability
• Construction defect
• Third-party property
• Commercial auto
• Long haul trucking
• Non-standard auto
• Premises liability
  
  
  

Adjusters will effectively determine and communicate the extent of liability associated with each claim. In addition, the role will support our clients in fulfilling their obligation to policyholders and maintaining the client's claims processing functions, including evaluating potential coverage issues, liability, and evaluation of damages, risk transfer opportunities, litigation, and settlement matters within the limits of assigned authority levels and in compliance with applicable legal and regulatory requirements.

The claims assigned to the adjuster are based on their experience and demonstrated an aptitude for handling large or complex matters with minimal supervision.

Responsibilities

• Determines appropriate methods and extent of needed investigation for all assigned claims, including conducting investigations through field visits and phone contact; obtaining medical reports and appraisals; conducting insured, witness, and claimant interviews and/or statements; completing scene investigations or other necessary fact-finding methods to evaluate liability, damages, and proper coverage.
• Applies understanding of insurance policies and policy interpretation to investigate, provide coverage recommendations, and draft coverage letters, if requested by the client.
• Works cooperatively with expert witnesses, attorneys, underwriting department staff, investigators, vendors, and carrier's examiners as needed to conduct investigations, confirm findings, and support evaluations.
• Ensures the accuracy of the information collected and reported to identify fraudulent claims based on critical issues and accurate conclusions
• Follows policies, procedures, and practices and incorporates sound judgment in formulating recommendations and completing evaluations and reports
• Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, providing appropriate conclusions and recommendations
• Arranges medical examinations, contractors' estimates, and other specialists' appointments as necessary. Attends trials, arbitration, ADR, and face-to-face negotiations as required.
• Monitoring quality of services by vendors; Appraisers, law firms, structured settlement, rehabilitation, and other experts or consultants.
• May be called upon to handle more complex claims involving various situations, including negligent security, liquor liability, products liability, construction defects, and fatalities with the appropriate level of guidance.
• Identify claims whose complexity warrants escalation to a more senior level adjuster.
• Identifies and addresses third party liability and tender opportunities through investigation and/or contract interpretation.
• Maintains accurate, thorough field notes, journal entries, and time and expense records as required.
• Submits reimbursement reports in keeping with organization and client policies, procedures, and practices, and within accepted industry standards.
• Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement
• Functions as an effective team member, assisting co-workers as needed and learning from colleagues and supervisors; supports the department's goals, division, and organization; participates in special assignments and activities as required or approved.
• Adheres to all applicable State Insurance Regulation requirements and other applicable laws, regulations, and standards; assumes personal responsibility for maintaining the requisite state licensure for the state(s) assigned.
  
  
  

Experience

• Bachelor's degree in a related field or demonstrated equivalent experience
• At least three years of experience in related claims handling
• Direct Background handing Casualty claims of parallel scale and scope
• Active license or ability to obtain such in multiple jurisdictions
• Fundamental understanding of claims adjudication processes
• Knowledge of casualty claims law and jurisdictional issues
• Understanding of the Commercial General Liability Policy Form
• Ability to draft coverage letters
• Skills in analyzing, interpreting, synthesizing, prioritizing, and reporting pertinent information, discerning the essential from the non-essential
• Team-oriented work style
  
  
  

Why join Charles Taylor?

We are very proud of the fact that nine out of ten of our people recommend Charles Taylor as a place to work. We pride ourselves on having a positive work environment where our people are empowered to make the best decisions and where learning is valued highly and shared across our business.

We are very committed to ensuring our people are given continuous learning and development. As well as structured induction programs and job training, we provide study support for relevant professional qualifications and have a Core Learning & Development Curriculum.

Equal Opportunity Employer

Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.

Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive and diverse culture and environment which we are proud to be a part of at Charles Taylor.