Position Overview:

Ultimate Staffing Services is actively seeking an experienced Senior Claims Adjuster to join their client's team. This position is pivotal in providing key support in handling claims across multiple lines of coverage, with a strong focus on Liability, including Commercial Auto and General Liability. The role involves assessing claim coverage, liability, legal and damage issues, and effectively resolving all assigned claims in a timely manner, ensuring compliance with company and regulatory guidelines. The successful candidate will provide a high level of customer service to both internal and external business partners.

Responsibilities:

• 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.
• Negotiate, settle, and resolve claims with claimants, insureds, and their lawyers through mediation, arbitration, or other court-supervised settlement efforts, providing appropriate claims resolution documents.
• Maintain a working knowledge of regulatory and jurisdictional requirements.
• Provide direction to and manage defense counsel, independent adjusters, and other third parties retained to assist in a particular claim.
• Perform other duties as assigned.

Qualifications:

• Minimum of 5 years of experience in coverage review, claims investigation, administration, and settlement, including 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.
• Service-oriented with the ability to provide prompt, efficient, and effective claims and customer service.
• Ability to communicate clearly and effectively with customers, claimants, opposing counsel, defense counsel, and members of the public.
• Ability to manage and organize workload of multiple tasks simultaneously.
• Excellent judgment, 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 western states, including Montana, Wyoming, Colorado, New Mexico, Idaho, Utah, Arizona, California, Washington, and Oregon.

Required Work Hours:

Monday through Friday, 1st shift.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.