Job Description

Network Adjusters is seeking skilled insurance claims adjusters for an auto liability claims adjuster position that handles primarily 1st and 3rd party commercial automobile losses. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. is a third-party administrative commercial line handling company that has built a reputation as a leading provider of insurance claims administration and independent adjusting services. We exemplify trust, integrity and reliability, and deliver consistent, high-quality claims management. All adjusters are licensed and bonded and operate under our strict standards for "BEST Claims Practices" that meet or exceed industry standards. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities.

CLAIMS ADJUSTER JOB DESCRIPTION:

· Handle primarily Commercial Auto claims with varying degrees of complexity and severity, including but not limited to third party personal injury/no-fault losses

CLAIMS ADJUSTER RESPONSIBILITIES:

· Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients

· Evaluate policy coverage, contact insured’s, attorneys, and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.

· Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.)

· Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage and compensability.

· Manage different lines of coverage requiring specialized investigation and utilization of external experts in accordance with local laws

· Establish and maintain appropriate claim and expense reserves in a timely fashion

· Maintains accurate records and handles the medical management file handling responsibilities associated with the claims. Records and updates status notes, and documents results of contacts, relevant medical reports and duration information per file posting standards.

· Document claim file activities in accordance with established procedures

· Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants

· Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly

· Determine settlement amounts based on independent judgment, application of applicable limits and deductibles

· Assess injuries associated with claims and conduct negotiations to settle claims within authority limits

· Identify subrogation opportunities

· Meet all quality standards and expectations based on Best Practices

· May be involved with litigation as necessary

· Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution

CLAIMS ADJUSTER QUALIFICATIONS:

· Minimum of 1 year of experience in personal injury or no-fault insurance claims handling. Driven individual who has demonstrated success in a claim adjusting role

· Ability to communicate effectively with individuals from all backgrounds and uphold our high standard of customer service

· Thorough knowledge of insurance coverage, contracts, claims handling guidelines, legal and medical terminology

· Ability to analyze information, such as medical records and legal documentation. Negotiation and settlement skills

· Hard work, honesty, integrity, and unwavering business ethics

· Detail-oriented organizational skills in a multi-tasking environment

· Obtain Adjusters licenses as required to meet business need

· Complete continuing education to maintain licenses

· Strong verbal and written communication skills

· General software skills including MS Word, Outlook and Excel

· Customer service and empathy skills

· Solid analytical and decision-making skills in order to evaluate claims and make sound decisions

· Excellent negotiation skills and ability to effectively handle conflict

· Attention to detail, ensuring accuracy

· Ability to maintain confidentiality

· Knowledge of Security Industry and/or Rideshare Industry is beneficial

CLAIMS ADJUSTER BENEFITS:

· Training/Development and growth opportunities

· 401(k) with company match / retirement planning

· Paid time off / company paid holidays

· Comprehensive health plans including dental and vision coverage

· Flex spending account

· Company paid life insurance

· Company paid long term disability

· Supplemental life insurance

· Opportunity to buy into short term disability

· Strong work/family and employee assistance programs

About Network Adjusters, Inc.

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.

This role is located in Farmingdale, NY; no remote or hybrid offers available at this time.

The starting salary for this position is $65,000+; factors such as licensing, certifications, work, and relative experience will be taken into consideration.

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