More jobs:
TPA Liability Claims Adjuster
Job in
City of Rochester, Rochester, Monroe County, New York, 14602, USA
Listed on 2026-02-27
Listing for:
USI Insurance Services
Full Time
position Listed on 2026-02-27
Job specializations:
-
Insurance
Risk Manager/Analyst -
Management
Risk Manager/Analyst
Job Description & How to Apply Below
Position Overview
TPA Claims Supervisor –
USI Insurance Services
Remote working is possible. Preferred location:
New York State; consideration given to candidates within the New England region. Travel to client sites is required a couple of times per month.
NYS Department of Finance Services Casualty General Adjuster License is required.
Responsibilities- Supervise 1 claim handler: hiring, training, performance reviews, and career development.
- Oversee activities of claim handlers within the third‑party administration (TPA) claims handling unit, ensuring adherence to policies, procedures, and regulatory guidelines.
- Provide direction, set goals, evaluate results, and ensure overall staff goals are achieved. Offer leadership, coaching, counseling, training, and guidance.
- Ensure compliance with department policies and with applicable laws, regulations, and carrier/client instructions.
- Manage ongoing claims activities: receive client claims, conduct research and information gathering, determine payments, review files for compliance and timeliness, and maintain staff diary dates.
- Visit clients regularly, maintain strong business relationships, and exchange information to support business renewal.
- Assist staff with complex work aspects as needed; resolve escalated issues by consulting with staff, management, other internal departments, outside contacts, and clients.
- Manage scheduling and assignment of work to meet deliverables and key guidelines.
- Review and evaluate activities regularly, providing management with updates and corrective actions when necessary.
- Maintain knowledge of current TPA claims developments and regulatory changes; alert staff and recommend improvements to policies and procedures.
- Engage in civic activities to promote community development and a positive image for the company.
- Participate in special projects and perform additional duties as required.
- Contribute to a positive, ethical, and respectful working environment and model company culture internally and externally.
- 4‑year degree or equivalent education and work experience.
- 10‑15 years of Liability claims experience (Auto and General Liability).
- Strong knowledge of Liability claims management and regulatory requirements.
- Experience and skills in coaching, training, and motivating staff.
- Ability to evaluate data and formulate claims strategy.
- Negotiation skills to resolve large claims at minimum cost.
- Ability to coordinate diverse teams to resolve claims.
- Highly organized and capable of managing high client volume.
- Strong understanding of claims management technology applications.
- Excellent verbal and written communication skills.
- Commitment to continuing education for licensing.
- Ability to conduct sales presentations.
- Strong analytical thinking and problem‑solving skills.
- Ability to work well in a team environment.
- Travel at least a couple times per month.
USI offers a comprehensive benefits package, including medical, dental, vision, 401(k), flexible spending, health savings accounts, short and long‑term disability, life insurance, paid time off, paid family leave, and paid holiday time. The salary range for this position is $91,675 - $109,200
.
Seniority level:
Mid‑Senior level
Employment type:
Full‑time
Job function:
Management and Manufacturing (Insurance)
- USI ONE Advantage® – a robust risk management and benefits solution.
- Industry‑leading programs, rewards, and recognition including Summit Awards.
- Deep community engagement and environmental sustainability initiatives.
- Diverse and inclusive workplace culture driven by the I’m With U program.
- Recognized as a top insurer employer, featured on multiple best‑places‑to‑work lists (2024‑2025).
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