Claims Adjuster-Financial (Remote)

Location: Orange, CA
Job Type: Direct Hire
Salary: $60,000.00 - $90,000.00
Degree: Bachelor;
Date: 3/21/2018
Job ID: 02582324
Job Description
Candidates should have some of the following experience: Securities Broker/Dealer Insurance; Life and Health Agent; Investment Management; Regulatory Investment Advisor; Financial Institutions.
 
We are in need of filling this position immediately – please provide me with the candidates availability start.
 
POSITION:
Claims Adjuster-Financial Institutions
 
SUMMARY:
The Claims Adjuster-Financial Institutions is the lead adjuster on the programs in which he/she handles claims for the financial institutions group where the pending is comprised mostly of large national accounts; analyze coverage under professional liability policies, including but not limited to, Securities Broker/Dealer Insurance, Investment Management Insurance, D&O, Financial Institution Professional Liability Insurance and Life Agents Professional Liability Insurance, A&E. Manage litigation and engage in settlement negotiations daily with outside counsel and claimants; attend mediations; this would require better than ordinary knowledge of the coverages, types of claims, and problems/solutions on the program.  She/he is a troubleshooter for the account.
 
DUTIES INCLUDE:
  • Responsibilities include the overall control of a particular program. 
  • Coordinate reports, statistics, results, etc. on the account.
  • Participate in general discussions on the account with the underwriting company or sponsoring company.
  • Research applicable coverage for our insureds.  Document coverage dates, limits and restrictions.
  • Identify and resolve any potential coverage questions. 
  • Draft reservation of rights and coverage denials for review and approval by Coverage Senior Adjuster.
  • Secure supporting documentation for assigned claims E&O, e.g.: insured’s file materials and notes, underwriting guidelines, carrier’s investigation package, phone logs, etc.  Investigate facts of underlying loss by securing statements and supporting documentation such as copy of policy, police reports, estimates of repair, new account profile, risk tolerance questionnaire, etc.
  • Exercise judgment in applying legal liability to assigned claims and will have full settlement authority up to their specific authority, which may vary from carrier to carrier.
  • Assign defense counsel to answer and defend lawsuits when appropriate.  Monitor and direct defense counsel, independent adjusters and experts.
  • Handle claims within guidelines of the Fair Claims Practices of various states.
  • Provide insureds, claimants and sponsoring companies with regular updates on status of file handling.
Required
  • 5+ years litigation and claims management experience
  • 4 year college degree or equivalent professional liability/claims litigation management experience
  • Must be licensed as a Qualified Claims Manager in the State of California (and any other states as needed)
  • Must be detail oriented
  • Critical thinker
  • Proficient computer skills including Microsoft Office Outlook, Word and Excel
  • Strong analytical and problem solving skills
  • Strong written and verbal communication
  • Strong organizational skills
  • Proficient computer skills including Microsoft Office Outlook, Word and Excel
Benefits:
offers full time employees a benefit package that include 401k plan, employee stock purchase plan, medical, dental, vision and other voluntary products. also pays for insurance licensing and related continuing education credits.