Commercial Auto and General Liability Adjuster

Carrier located in Irving is currently seeking a Sr. Claims Representative to join their branch office located in Irving, TX .

This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto and General Liability). This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners.

• Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims
• Prepare reservation of rights letters, nonwaiver agreements, and coverage DISCLAIMERS to address claim coverage issues
• Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
• Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
• Provide proper documentation and reporting of investigation and claims handling activities
• Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents
• Maintain a working knowledge of regulatory and jurisdictional requirements
• Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
• Identify and pursue (if applicable) risk transfer opportunities
• Other duties as assigned

Minimum of 5 years of experience with the following:

• Coverage Review — interpreting policies, agreements/contracts, reservation of rights, and DISCLAIMERS
• Claims Investigation — Statements, authorizations, retention of qualified experts and counsel
• Claims Administration — Reports, review reserves, compliance knowledge of laws and procedures
• Claims Settlement — Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary
• Knowledge of coverage, negligence principles, investigation, and negotiation techniques
• Ability to obtain and maintain state adjusting licenses, as needed
• Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
• Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
• Ability to manage and organize workload of multiple tasks simultaneously
• Excellent judgement, negotiation, and decision making skills
• Must be able to travel between different off-site locations or overnight in an expeditious manner
• Experience in handling liability claims in Oklahoma and Texas.