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General Liability Claims Adjuster

Certus Claims Administration, LLC

Who We Are:

Certus Claims is a growing third-party administrator (TPA) managing general liability claims for insurance carriers including premise liability in the Hospitality, Habitational and Construction industries.  We are currently seeking a dynamic individual to join Certus as a Senior Claims Specialist with in depth GL experience and construction defect and liability claim knowledge.

Job Description:

The Senior Claims Specialist will:

  • Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel where defense obligation exists,  issuing reservation of rights letters where coverage does exist, issuing coverage declinations when coverage does not exist, negotiating covered claims to resolution, responding to push backs or rebuttals if received.
  • Comply with all statutory and regulatory requirements in all applicable jurisdictions.
  • Thoroughly investigate, review information/documentation received, identify key issues and plan of action required, conduct a thorough analysis of liability and damages, and input and review notes/diaries into claims management system.
  • Ability to guide and control litigation with an eye towards early resolution.
  • Attend and participate in mandated case or claim-related events including court, mediation and arbitration proceedings.
  • Periodic travel, including air travel to: investigate/handle claims, engage in client meetings, attend audits/file reviews, and participate in staff meetings or training sessions.
  • Manage non-litigated, litigated and coverage files within industry and client guidelines.
  • Select and manage defense and coverage counsel, investigators, field adjusters, vendors and expert witnesses within company and/or client guidelines, and ensure that company resources with regard to same are utilized in a cost effect manner in the process.
  • Determine if subrogation opportunity exists and takes steps to initiate recovery efforts.
  • Follow client-specific requirements for reporting, vendor assignment, reserve and settlement authority and control loss adjustment expenses.
  • Handle complex litigated Construction Defect claims across the United States. This would include investigating, evaluating, and resolving claims and lawsuits of a more severe and complex nature.

You Are Someone with:

  • Self-direction, self-motivation, independent and analytical thinking skills
  • Familiarization with state insurance regulations for all 50 states but predominantly handling claims in Manhattan, Brooklyn and Queens.  Occasional air travel may be required
  • Superior track record in all aspects of claims handling and resolution. Strong coverage and negotiation skills a must.
  • Strong collaboration skills to work with internal and external team members in driving the claims process
  • Self-starter with the ability to drive work streams and analyses
  • Ability to work in a fast-paced environment and under pressure
  • Strong working knowledge of Microsoft Office suite of products including Outlook, Word, Excel and Power Point 
  • Strong communication (written/verbal) and presentation skills
  • Bachelor’s Degree and New York adjuster license required 
  • Construction experience required, property experience a plus
  • 10 years minimum experience preferred in
  • Advanced litigation management skills
  • Ability to be licensed and bonded for state insurance licenses as needed

Competitive compensation and benefit package including health, dental, life insurance, 401k plan with match.

Primary Location Preference: Manhattan

Interested candidates should submit their resume to info@certusclaims.com

 

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