Insurance Adjustor 

Job Description

Location: Los Angeles, CA

Responsibilities:

• Investigate liability and settle claims within client account specifications, with an emphasis on litigation matters, strong communication and customer service, involving general liability bodily injury and property damage claims from very minor to complex claims including litigation management.
• Investigate, evaluate, determine liability, claim settlement value, and settle claims in accordance with company policies and client instructions.
• Establish contact with the client, claimant, claimant attorneys and others as appropriate and in accordance with client instructions.
• Recognize coverage issues and make recommendations for extending or denying coverage.
• Recognize state specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation, including sending and securing proper documentation.
• Provide written summary of claim facts, liability, damages, demand, liens, and recommendation for disposition of claims that exceed the adjuster’s settlement authority and as required by client/carrier instructions.
• Determine when a loss requires the use of an expert and/or attorney involvement/oversight and coordinate the handling of the same.
• Refer lawsuits to properly approved attorneys and ensure that they handle the matter in accordance with company and client’s instructions.
• Secure budgets for all outside experts, and audit fees of independent adjusters, appraisers, defense experts, attorneys, and other vendors to properly manage and pay expense and legal invoices.
• Summarize large losses, and present findings to upper management, excess insurers, and other departments.
• Communicate settlements and reserve increases to clients/ insurers as required by specific handling instructions.
• Timely document activity and communications in the designated database. This includes all communications and activities that occur during the handling of the claim using factual and objective information.
• Respond to time sensitive material, including lawsuits, demands, mediations, arbitration hearings,
• Manage a diary system to systematically review and timely resolve claims.
• Obtain/maintain adjuster licenses as required and by complete continuing education coursework to ensure compliance.
• Attend mediations, depositions, and trials, as required.

Qualifications:

• Minimum of 3-5 years experience in claims and insurance adjusting.
• Adjusting licenses in all operating states is preferred.

• Must have no-fault claims and property damage claims experience.
• Experience with insurance and/or claims software (Xactimate, EverQuote, Symbility, ClaimXperience) preferred.
• Professional designations, (AIC, CPCU, etc.) and bachelor’s degree a plus.
• Ability to establish a rapport and communicate with clients regarding claim handling, liability decisions, reserves, and settlements.
• Working knowledge of Microsoft Word, Excel, and Outlook.
• Must be able to interpret contracts and insurance policies, perform analytical research and investigations, and make sound judgments from data and records collected.
• Must have strong analytical and reasoning skills.
• Compensation: $70,000 -$90,000 plus benefits.