Senior Claims Representative
Core
Adjust assigned claims within delegated limits, conduct investigations, handle subrogation, and complete fair settlements for commercial insurance policies.
Role type
Senior Claims Adjuster (Commercial P&C)
Builds
Claim settlements and recovery actions for commercial insurance customers
Domain
Insurance (Property & Casualty)
Deliverable
client delivery
Required skills
claims investigation, reserve setting, subrogation, settlement negotiation, regulatory compliance, litigation management, data reporting
Preferred skills
Bachelor's degree
Technologies
claims management systems
Responsibilities
Analyze moderate to complex claims to determine investigation needs; conduct thorough investigations including survey arrangements; initiate reserve changes and recommend adjustments when authority is exceeded; negotiate timely and equitable claim payments; manage subrogation including identifying responsible parties and negotiating settlements; direct and monitor defense counsel performance and review legal fee bills; service customer needs including insureds, claimants, and brokers; maintain communication with customers throughout the claims process; complete data reports to state agencies; maintain compliance with Fair Claims Practices Acts and state licensing requirements.
