Job Description

THIS POSITION IS REMOTE

ABOUT THE COMPANY

Carl Warren is a nationwide Third-Party Administrator (TPA) with about 150 employees and multiple locations across the country. We provide liability and property claims management and administration services to the private and public sectors, insurance companies and captives.

At Carl Warren, we are committed to investing in our employees' development and providing a positive work environment where our employees feel valued. We are looking for a Claims Adjuster to join our team. This position will be a remote position.

RESPONSIBILITIES

Conduct investigations, establish the facts of the loss, coverage analysis, compensability/liability/negligence determination, investigate possible application of risk transfer, litigation management, appropriate use of vendors, apply policy contract and insurance laws to properly assess and negotiate (settle, authorize or deny payment) to the conclusion of the claim within authority limits.

· Timely and appropriate reserve analysis and report completion.

· Handle litigated cases and attend mediation on assigned files.

· Prepare reports and Present claims in a round-table setting or at a claim review.

· Determine if subrogation opportunity exists and initiates recovery efforts.

· Some travel required.

REQUIREMENTS

· 7 - 10+ years in Property & Casualty industry.

· 7 - 10+ years of handling experience in complex litigated claims.

State licenses required (preferred states include but are not limited to CT, DE, FL, KY, LA, MI, NC, NH, NM, NV, NY, OK, RI, SC, TX, VT, WY)

· Product and General Liability experience is preferred.

· College degree is preferred and a designation (e.g. AIC, AIM, ARM, CPCU) and/or insurance related courses are a plus.

· Experience working in claims management systems and strong knowledge of Microsoft applications (Outlook, Word, Excel, and PowerPoint).

· Obtain and maintain necessary adjuster licenses.

COMPETENCIES

· Communication Skills: Consistently and effectively communicates with a diverse spectrum of people across the organization and team. Must seek answers and clarification from management on information that is not understood to ensure the proper message is communicated.

· Problem Solving & Decision Making: Determines steps to obtain the best outcome of claim resolution. Considers short and long-term outcomes through the decision-making sessions to ensure all stakeholders are involved.

· Customer Service: Aligns and supports goals that promote client-centric culture. Services the needs of both internal and external clients, understands all expectations of performance, committed to delivering high-quality service, ability to communicate often and be responsive to all requests timely. Has the passion to deliver high-quality work.

· Interpersonal skills: Ability to read and work with a variety of people, assess credibility, maintain optimism, build relationships, be resilient and approachable. Leads by example.

· Strategic Thinking: Understands multiple resources assist in claim resolution and facilitates these resources. Continuously monitors the effectiveness of the current strategy and makes recommendations for necessary changes. Continually assesses the success of the strategy and ultimate claim outcome against the market and competitors.

· Functional/Technical Expertise: Demonstrates the ability to investigate, evaluate and resolve claims. Maintains own functional /technical expertise through projects, designations, continuing education, etc. Models expert learning and growth by having a strong understanding of best practices within the function. Has a working knowledge of claims workflow and a strong understanding of the processes. Proven track record of sustained performance as measured by performance indicators.

Company Description

Carl Warren is a nationwide Third-Party Administrator (TPA) with about 150 employees and 20 locations across the country. We provide liability and property claims management and administration services to the private and public sectors, insurance companies and captives. At Carl Warren, we are all committed to investing in our employees' development and providing a positive work environment where our employees feel valued. We are looking for a Claims Adjuster to join our team. This position will work in our San Bernardino, California office.