Sr Claims Adjuster - Premises

Reputable company located in Houston but position is remote. If you are located in Houston, it is a plus but not required. TPA Carrier experience a plus. You will be handling the following type of of claims: Wrongful death Slip and Fall Habitability Personal Injury Sexual assault Trip and Fall Responsibilities Manage caseload of primarily litigated files of approximately 125 claims. Direct independent adjusters (when applicable) and defense counsel, as necessary Anlyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine the exposure on the claim Investigates, analyzes, determines potential liability, and effectively settles with adverse parties. Manages claims through well-developed action plans to an appropriate and timely resolution Assesses liability, gather investigative information and resolve claims within evaluation Negotiates settlement of claims up to designated authority level, request authority timely, as needed Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim Approve and makes timely claim payments and adjustments, and settles claims within designated authority level Assist litigation manager with the litigation process; ensures timely and cost-effective claims resolution Uses appropriate cost containment techniques Communicate claim activity with the appropriate parties (supervisor, broker, agent, client) Cultivate and maintain professional client relationships Participate in monthly claim round table and reserve committee Audit files to ensure field completion and data integrity Prepare Claim Analysis Reports for all claim reviews (internal/external) Complete Plan of Action, Status Updates, Reserve Properly, Request all pertinent documents and audit files for closure, field completion, document gathering, financials, etc. Request settlement authority and checks Identify tender and subrogation opportunities Attend mediations, if merited (rare travel, if any). Exercises sufficient and independent judgment to settle cases prior to mediation and/or litigation. Obtains all necessary documentation from the appropriate parties within established timelines. Remains abreast of new case law and statutes. Maintains confidentiality of information processed. Ensure the maintenance of the data integrity of our RMIS Mentors team members. Completes other duties and special projects as requested. Experience 7-10+ years of experience handling catastrophic level commercial general liability claims Litigated claims experience imperative Active license is required (multi-state) Real estate/multi-family experience claims handling experience highly preferred Comprehensive understanding of General Laws in multi states Required Characteristics Must share our core values Must be reliable and dependable Must enjoy finding and proposing solutions to problems Must thrive in a fast pace, deadline driven environment Must be willing to self-learn in addition to taking direction (work independently and as a team) Must be comfortable with working on new and sometimes unfamiliar problems. Ability to problem solve and find solutions/answers Must be self-motivated, proactive, and detail oriented Must be respectful to all colleagues and clients and contribute to a fun, happy and team building atmosphere. Skills Typing (min 65 wpm) Experience with automated claims handling systems (RMIS) (paperless environment) Extensive understanding of contractual relationships and language Education Required - High School Diploma Required - Bachelor's Degree from an accredited college or university Required – Multi-state Licensed Casualty Adjuster AIC/CPCU/ARM Designation highly preferred Benefits Medical - UHC 401K plus match J-18808-Ljbffr