Responsibilities
- Investigate, assess, and resolve complex claims within authority limits
- Analyze policy coverage and liability to determine appropriate claim outcomes
- Develop and execute strategies to mitigate potential financial risk exposure
- Collaborate with legal counsel, underwriters, and external vendors
- Prepare comprehensive reports and documentation for claim decisions
- Ensure all regulatory requirements and compliance standards are met
- Manage communications with clients, brokers, and internal stakeholders throughout the claims process
- Participate in audits and quality control reviews
- Contribute to process improvement initiatives within the claims department
- Mentor and provide guidance to less experienced team members
Requirements
- English language fluency required
- 5 or more years of experience handling claims, preferably in specialty or complex lines
- Demonstrated expertise in managing complex or high-risk claims scenarios
- Experience working with brokers, legal professionals, and regulatory agencies
- Must hold and maintain all required licenses in all U.S. states where licensing is required to perform the duties
- Bachelor’s degree in business, insurance, risk management, or related field is preferred
- Experience handling litigated commercial auto/trucking claims
- Experience with catastrophic injury and wrongful death claims
- Advanced claims analysis and adjudication techniques
- Knowledge of FMCSA regulations and transportation industry operations
- Strong negotiation and settlement skills
- Proficiency in policy interpretation, risk assessment, and regulatory compliance
- Proficiency with claims management systems and related technology platforms
Core Competencies
Demonstrates expertise in managing complex claims, including litigated commercial auto/trucking claims and catastrophic injury cases, while ensuring compliance with regulatory standards. Proficient in claims analysis, risk assessment, and effective communication with stakeholders.
Highest-signal resume keywords
- Claims Management
- Complex Claims Handling
- Regulatory Compliance
- Negotiation Skills
- Claims Analysis
Hard Skills
- Claims Analysis
- Risk Assessment
- Policy Interpretation
- Adjudication Techniques
- Financial Risk Mitigation
- Complex Claims Management
- Litigated Claims Handling
- Catastrophic Injury Claims
- Wrongful Death Claims
- FMCSA Regulations
Soft Skills
- Communication Skills
- Mentoring
- Collaboration
- Negotiation Skills
- Process Improvement
Certifications & Qualifications
- Required Licenses in U.S. States
Industry Keywords
- Insurance
- Risk Management
- Transportation Industry Operations
- Regulatory Agencies
- Brokers
- Legal Counsel
Tools & Technologies
- Claims Management Systems
- Technology Platforms
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Litigation Claims Adjuster – Complex Arbeitgeber: Jobtailor
Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.
