Jobs
>
Philadelphia

    Sr. General Liability Claims Adjuster- - Philadelphia, United States - NARS

    NARS
    NARS Philadelphia, United States

    2 weeks ago

    Default job background
    Description

    Job Description

    Job Description

    Job Description:

    Must have NY Adjuster license.

    Multi Line Senior level Adjuster with emphasis in handling General Liability claims in litigation. Mediation and Trial Experience necessary. .
    Must have 5+ years prior claim adjusting or similar experience, with the majority handling complex litigation, preferably in the line of business being handled.

    Handle a caseload of approximately 150 pending claims that encompass all levels of complexity. Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud and appropriate use of authorized vendors. Also includes timely and appropriate reserve analysis and report completion. Ability to attend conferences, client meetings, mentor other adjusters and assist management as requested. All file handling must be within state statutes, Client Claims Handling Guidelines and NARS Best Practices. Other miscellaneous duties as assigned, which may include travel.

    Essential Duties and Responsibilities:

    Coverage:

    • Identify, analyze and confirm coverage. Customer Service/Contact:
    • Contact appropriate parties and providers to determine liability, compensability, negligence and subrogation potential.
    • Contact appropriate parties to obtain any needed information and explain benefits as appropriate. Continue contact throughout the life of the file as appropriate.
    • Answer phones, check voice mail regularly, and return calls as needed.
    • Assist with training/mentoring of Claims Adjusters.
    • Assist management when required with projects or leadership as requested.
    • Handle the various duties/responsibilities of the Assistant Unit Manager/Unit Manager as delegated in their absence. Subrogation:
    • Refer all files identified with subrogation potential to the subrogation department. Investigation:
    • Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate.
    • Identify cases for settlement. Evaluate claims and request authority no later than 30 days prior to mediation date and negotiate settlement.
    • Evaluate and negotiate liens.
    • Recognize and report potential fraud cases. Litigation Management:
    • Develop and direct a litigation plan with defense attorney (if assigned), utilizing all defenses and tools to bring the file to closure. Ensure all filings and state mandated forms are completed timely. Litigated files must be diaried effectively based on current activity, but no greater than every 60 days.
    • Review claim files involving active litigation on a monthly basis at minimum, and document responses to filings, development of defenses, depositions, and timely referral to defense counsel.
    • Direct the actions of defense counsel on litigated files.
    • Attend mediations and trials as required for cost effective litigation management. Reserves:
    • Establish ultimate reserves (anticipated cost to bring file to close based on known facts) as soon as practical and monitor to adjust at the time of any exposure changing event.
    • Pay all known benefits, ensuring they are paid timely on state statute.
    • Verify all provider bills have been appropriately reviewed and paid within standard timeframes. Reporting Requirements:
    • Report all serious injuries/liability issues and potential large loss claims to the client and/or reinsurer based upon the criteria provided by the client.
    • Must pass all internal and external audits, which include those performed by regulatory agencies, carriers, and clients.
    • Follow reporting requests as outlined by client files and NARS guidelines. Resolution:
    • Document plan of action in the claim system and set appropriate diaries.
    • Maintain a regular diary for monitoring and directing medical care, case development, or litigation.
    • Close all files as appropriate in a timely and complete manner.
    • Maintain closing ratio as dictated by management team.

    Qualification Requirements:

    Education / Licensing:

    • High School Diploma, college degree preferred.
    • Must have 3+ years prior claim adjusting or similar experience, with the majority handling CD and complex litigation. Must have 5 to 7 years of overall claims experience, preferably in the line of business being handled.
    • Must have 5+ years heavy litigation experience for all other lines except workers compensation.
    • Must have 3+ years Construction Defect or similar/related experience if handling that line of business.
    • Must be eligible for reserve/payment authority level of $50,000+ when appropriate
    • Must possess, or have the ability to obtain, a Florida Adjuster's license or other required jurisdictional licensing.Technical skills:
    • Advance level of interpersonal skills to handle sensitive and confidential situations and information.
    • Requires advanced ability to negotiate claims and to direct litigation.
    • Must have negotiation and litigation skills for significant work with attorneys and arbitration on first and third party claims.
    • Requires advanced ability to work independently.
    • Requires an advanced level of organization and time management skills.
    • Must possess advanced level written and verbal communication skills.
    • Must be able to explain and appropriately respond to auditors, clients, and potential clients during in-person presentations.Abilities:
    • Requires long periods of sitting.
    • Requires working indoors in environmentally controlled conditions.
    • Requires lifting of files and boxes up to approximately 20 pounds.
    • Repeated use of a keyboard, mouse, and exposure to computer screens.
    • Requires travel as assigned, which can at times be extensive (5 to 7 days per month).
    Company DescriptionNorth American Risk Services (NARS) is a premier third-party claims administrator that is dedicated to producing the best possible results for our clients. Founded in 1996, we handle claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities.

    Company Description

    North American Risk Services (NARS) is a premier third-party claims administrator that is dedicated to producing the best possible results for our clients. Founded in 1996, we handle claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities.
  • Sedgwick

    Claims Adjuster

    1 week ago

    Sedgwick Philadelphia, United States

    **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** · Claims Adjuster - Liability (FELA / Railroad)IF YOU CARE, THERES A PLACE FOR YOU HERE · For a career path that is bot ...

  • Sedgwick

    Claims Adjuster

    1 week ago

    Sedgwick Philadelphia, United States

    **Claims Adjuster - Workers Compensation** · **Claims Adjuster - Workers Compensation** · **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** · Claims Adjuster - Workers ...

  • Glacier Insurance Company

    Claims Adjuster

    1 week ago

    Glacier Insurance Company Blue Bell, United States

    Glacier Insurance Company is a fast-growing personal auto insurance carrier based in Blue Bell, Pennsylvania. · **Position Summary** · We are currently looking for an Auto Liability Adjuster to handle first party collision and comprehensive claims as well as third party property ...

  • Berkshire Hathaway GUARD Insurance Companies

    Claims Adjuster

    3 weeks ago

    Berkshire Hathaway GUARD Insurance Companies Philadelphia, United States

    Overview · Berkshire Hathaway GUARD Insurance Companies is looking to hire a Workers Compensation Claims Associate (Entry Level) to conduct office investigations and adjusting workers compensation claims. We are looking to fill this position in our Corporate Office in Wilkes-Ba ...

  • Farmers Insurance Group

    Field Property Claims Adjuster-philadelphia, Pa

    3 weeks ago

    Farmers Insurance Group Philadelphia, United States

    **We are Farmers** · We aremore than just your favorite commercials. At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the moments of truth. That means having people who can help us meet changing cus ...

  • AmTrust Financial

    Claims Adjuster III

    2 weeks ago

    AmTrust Financial Philadelphia, United States

    · Claims Adjuster III · Job Locations · US-PA-TBD · Requisition ID · Category · Claims - Workers Compensation · Position Type · Regular Full-Time · Overview · AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster II ...

  • AmTrust Financial

    Claims Adjuster III

    2 weeks ago

    AmTrust Financial Philadelphia, United States

    · Claims Adjuster III · Job Locations · US-PA-TBD · Requisition ID · Category · Claims - Workers Compensation · Position Type · Regular Full-Time · Overview · AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster II ...

  • Yoh, A Day & Zimmermann Company

    Senior Claims Adjuster

    3 weeks ago

    Yoh, A Day & Zimmermann Company Philadelphia, United States

    Job Description · In the role as a Senior Claims Adjuster you will handle claims for bodily injury and property damage claims. These claims include auto accidents, premises liability, police professional liability and subrogation. A working knowledge of the New Jersey Tort Claim ...

  • The Philadelphia Contributionship

    Field Homewners Claims Adjuster

    2 weeks ago

    The Philadelphia Contributionship Trenton, United States

    **Homeowners' Field Claims Adjuster (Northern NJ)** · The Philadelphia Contributionship is the oldest successful property and casualty insurance company in the United States, having been founded by Ben Franklin in 1752. We write homeowners insurance in Pennsylvania, New Jersey, D ...

  • Liberty Mutual Group

    Field Property Claims Adjuster

    3 weeks ago

    Liberty Mutual Group Philadelphia, United States

    You are here: / US,Philadelphia-PA,Field Property Claims Adjuster **Field Property Claims Adjuster** · Description & Responsibilities Qualifications Featured Benefits Job Details Level Entry Job Location AL - Marion County - Winfield, AL Remote Type N/A Position Type Full-Time/P ...

  • Berkley

    Multi-line Claims Adjuster

    1 week ago

    Berkley Wilmington, United States

    Company Details: · Berkley One exists to insure and protect the lifestyles of a modern generation of affluence. We seek clients that are sophisticated individuals and families who require world-class risk and claims management customized to their needs, a team of select expert in ...

  • Sedgwick

    Claims Adjuster

    3 weeks ago

    Sedgwick Marlton, United States

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • SEVERE STORM PRO LLC

    Claims Adjuster

    1 week ago

    SEVERE STORM PRO LLC Langhorne, United States

    Job Description · Job DescriptionBenefits/Perks:Competitive Pay · Professional Development · Job Stability in a Growing Industry · Job Summary: · We are seeking a professional and knowledgeable Claims Adjuster to join our team. In this role, you will examine property damage, proc ...

  • Sedgwick

    Claims Adjuster

    3 weeks ago

    Sedgwick King of Prussia, United States

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • SEVERE STORM PRO LLC

    Claims Adjuster

    1 week ago

    SEVERE STORM PRO LLC Langhorne, United States

    Job Description · Job DescriptionBenefits/Perks:Competitive Pay · Professional Development · Job Stability in a Growing Industry · Job Summary:We are seeking a professional and knowledgeable Claims Adjuster to join our team. In this role, you will examine property damage, process ...

  • Glacier Insurance Company

    Claims Adjuster

    1 week ago

    Glacier Insurance Company Blue Bell, United States

    Job Description · Job DescriptionGlacier Insurance Company is a fast-growing personal auto insurance carrier based in Blue Bell, Pennsylvania. · Position Summary · We are currently looking for an Auto Liability Adjuster to handle first party collision and comprehensive claims a ...

  • SEVERE STORM PRO LLC

    Claims Adjuster

    2 weeks ago

    SEVERE STORM PRO LLC Langhorne, United States

    Job Description · Job DescriptionBenefits/Perks:Competitive Pay · Professional Development · Job Stability in a Growing Industry · Job Summary:We are seeking a professional and knowledgeable Claims Adjuster to join our team. In this role, you will examine property damage, process ...

  • SEVERE STORM PRO LLC

    Claims Adjuster

    1 week ago

    SEVERE STORM PRO LLC Langhorne, United States

    Job Description · Job DescriptionBenefits/Perks:Competitive Pay · Professional Development · Job Stability in a Growing Industry · Job Summary: · We are seeking a professional and knowledgeable Claims Adjuster to join our team. In this role, you will examine property damage, proc ...

  • Farmers Insurance Group

    General Claims Adjuster-Sign On Bonus

    2 weeks ago

    Farmers Insurance Group Philadelphia, United States

    ** General Claims Adjuster-Sign On Bonus** · 9239 **We are Farmers** · Join a team of diverse professionals at Farmers to acquire skills on the job and apply your learned knowledge to future roles at Farmers. Farmers Insurance also offers extensive training opportunities throug ...

  • Wahve

    P&C Commercial Claims Adjuster

    2 weeks ago

    Wahve Philadelphia, PA, United States

    P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE Put your Insurance Experience to work – FROM HOME · At Wahve, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the oppor ...