Sr Claims Adjuster - Premises

Reputable company located in Houston but position is remote. If you are located in Houston, it is a plus but not required.

TPA Carrier experience a plus. You will be handling the following type of of claims:

• Wrongful death
• Slip and Fall
• Habitability
• Personal Injury
• Sexual assault
• Trip and Fall

• Manage caseload of primarily litigated files of approximately 125 claims.
• Direct independent adjusters (when applicable) and defense counsel, as necessary
• Anlyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine the exposure on the claim
• Investigates, analyzes, determines potential liability, and effectively settles with adverse parties.
• Manages claims through well-developed action plans to an appropriate and timely resolution
• Assesses liability, gather investigative information and resolve claims within evaluation
• Negotiates settlement of claims up to designated authority level, request authority timely, as needed
• Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim
• Approve and makes timely claim payments and adjustments, and settles claims within designated authority level
• Assist litigation manager with the litigation process; ensures timely and cost-effective claims resolution
• Uses appropriate cost containment techniques
• Communicate claim activity with the appropriate parties (supervisor, broker, agent, client)
• Cultivate and maintain professional client relationships
• Participate in monthly claim round table and reserve committee
• Audit files to ensure field completion and data integrity
• Prepare Claim Analysis Reports for all claim reviews (internal/external)
• Complete Plan of Action, Status Updates, Reserve Properly,
• Request all pertinent documents and audit files for closure, field completion, document gathering, financials, etc.
• Request settlement authority and checks
• Identify tender and subrogation opportunities
• Attend mediations, if merited (rare travel, if any).
• Exercises sufficient and independent judgment to settle cases prior to mediation and/or litigation.
• Obtains all necessary documentation from the appropriate parties within established timelines.
• Remains abreast of new case law and statutes.
• Maintains confidentiality of information processed.
• Ensure the maintenance of the data integrity of our RMIS
• Mentors team members.
• Completes other duties and special projects as requested.

• 7-10+ years of experience handling catastrophic level commercial general liability claims
• Litigated claims experience imperative
• Active license is required (multi-state)
• Real estate/multi-family experience claims handling experience highly preferred
• Comprehensive understanding of General Laws in multi states

• Must share our core values
• Must be reliable and dependable
• Must enjoy finding and proposing solutions to problems
• Must thrive in a fast pace, deadline driven environment
• Must be willing to self-learn in addition to taking direction (work independently and as a team)
• Must be comfortable with working on new and sometimes unfamiliar problems. Ability to problem solve and find solutions/answers
• Must be self-motivated, proactive, and detail oriented
• Must be respectful to all colleagues and clients and contribute to a fun, happy and team building atmosphere.

• Typing (min 65 wpm)
• Experience with automated claims handling systems (RMIS) (paperless environment)
• Extensive understanding of contractual relationships and language

• Required - High School Diploma
• Required - Bachelor's Degree from an accredited college or university
• Required – Multi-state Licensed Casualty Adjuster
• AIC/CPCU/ARM Designation highly preferred

• Medical - UHC
• 401K plus match