TPA Liability Claims Adjuster

Work remotely; ideally within New York State but candidates from New England region considered. Some travel to client sites required a couple times per month.

NYS Department of Finance Services - Casualty General Adjuster License required.

Supervise activities of 1 claim handler within the third‑party administration (TPA) claims handling department responsible for supervising, processing, paying, and resolving liability claims.

• Supervise one claim handler including hiring, training, career development, performance reviews, and performance improvement plans.
• Monitor daily activities of the claim handler to ensure compliance with policies, procedures, and regulatory guidelines.
• Provide direction, set goals, evaluate results, and ensure that staff goals are attained.
• Co‑coach, counsel, train, and give guidance to staff, assigning responsibilities and monitoring progress.
• Ensure adherence to policies, procedures, standards, and guidelines and coordinate compliance with regulatory agencies.
• Supervise ongoing claim activities, including receiving client claims, research, payment determination, and claims administration.
• Review claim files to ensure appropriate payments, policy compliance, and timeliness.
• Visit clients and maintain strong business relationships; communicate with production and customer service areas.
• Assist staff with complex aspects of work; resolve escalated issues by conferring with managers, other departments, and clients.
• Manage scheduling and assignment of work to ensure deliverables meet guidelines.
• Provide regular performance updates to management and take corrective action.
• Stay knowledgeable of current developments in the TPA claims industry and share information with staff.
• Participate in civic activities to promote community growth and a positive company image.
• Participate in special projects and perform additional duties as required.
• Contribute to a positive, ethical, and respectful work environment and communicate openly with others.

• 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, legal and regulatory requirements.
• Supervisory skills and experience to coach, train, and motivate staff.
• Ability to evaluate data and formulate claims strategy; negotiate to resolve large claims at minimum cost.
• Strong organizational and project‑management skills for large client volume.
• Proficient with claims‑management technology applications.
• Excellent verbal and written communication skills.
• Ongoing education required to maintain licensing.
• Sales presentation skills.
• Strong analytical thinking and problem‑solving skills.
• Teamwork orientation.
• Travel required, at least a couple times per month.

Competitive salary: $91,675 – $109,200. Comprehensive benefits include medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short‑ and long‑term disability, life insurance, paid time off, family leave, and paid holiday time.

USI offers a variety of employee recognition, wellness programs, scholarships and community engagement initiatives that support professional development and work‑life balance.

Seniority level:
Mid‑Senior.

Employment type:

Full‑time. Job function:
Finance and Sales. Industries:
Insurance.

Referrals increase your chances of interviewing by 2×.