Liability Claims Adjuster - TPA for Public Entities - Hybrid Option

We are growing! Claims Resolution Corporation, Inc., based in Galloway, New Jersey, is a full-service, third-party administrator (TPA) managing multi-line claims including Workers’ Compensation, General Liability, Auto Liability, Professional and Property claims. Our client-focused, ethical, and relationship-based team members are the heart of our vision to be the best TPA. If you are willing to collaborate within a diverse team, embrace challenges, and continue to develop your own skills, then Claims Resolution Corporation, Inc. may be the place for you. We offer a career-oriented which values your contributions and encourages you to grow.

Job Summary:

The liability claims adjuster manages, investigates, and resolves liability claims including General Liability, Auto Liability, Property Damage, Workers' Compensation, Police Professional, Public Officials, Employment Practices Liability for public entities. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.

Duties/Responsibilities:

Duties include but are not limited to:

• Investigating and adjusting claims in accordance with established claims handling procedures
• Communicating with clients, witnesses, and claimants in order to gather information regarding claims and advise as to proper course of action. Responding to various written and telephone inquiries including status reports.
• Determining liability based upon investigation results and applicable state tort law.
• Ensuring adequacy of reserves.
• Properly document claim files
• Identifying potential suspicious claims and identifies opportunities for third party subrogation.
• Assessing and monitoring subrogation claims for resolution.
• Collecting insurance information and review insurance policies for applicable coverage, deductibles, exclusions
• Reviewing medical, legal, and miscellaneous invoices to determine if reasonable and related to the ongoing claim. Negotiating any disputed bills for resolution.
• Authorizing and making payment of claims in accordance with industry standards and within settlement authority.
• Negotiating settlements with claimants and attorneys in accordance with client's authorization.
• Preparing reports detailing claims, payments, and reserves.
• Providing reports and monitor files, as required by excess insurers.
• Pursuing subrogation and recovery
• Highly effectively verbal and written communication with internal and external parties to support the prompt resolution of claims and return to work in the most cost-effective manner.
• Maintain current knowledge of New Jersey jurisdictional requirements and applicable case law.

Requirements and Qualifications:

• Associate's’ degree and/or advanced degree preferred
• 10+ years liability claims experience
• Demonstrated competency applying NJ Title 59, legal liability theories, general insurance policy coverage and State Tort Law (NJ required and PA & NY preferred)
• Must be detail-oriented and have strong customer service skills
• Must be proficient in the use of the internet and Microsoft Office and capable of learning industry specific software
• Demonstrated strong written and oral communications skills
• Demonstrated strong interpersonal, analytical, investigative, and negotiation skills
• As required, maintains insurance adjuster licenses

Physical Requirements:

· Prolonged periods of sitting at a desk and working on a computer.

Growth and development:

• Whether you are new or have extensive experience, we promote a lifelong learning approach. Claim Resolution Corporation, Inc.’s goal is to provide you with the tools and training to be highly successful as a respected insurance professional.

Employee Benefits:

• We offer a comprehensive benefits package including paid time off, medical, dental, vision, FSA, HRA, 401k, LTD, STD, and Group Life Insurance.

Claims Resolution Corporation, Inc. is an Equal Opportunity Employer, providing employment opportunity to all qualified individuals regardless of race, creed, color, sex, sexual orientation, religion, national origin, age, disability, or any other basis prohibited by law.

If you meet the above requirements and want to join a high performing team, please forward your resume for consideration.

Job Type: Full-time

Pay: $60,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Township of Galloway, NJ 08205: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• Are you able to work from 8:30 am -4:30 pm EST?
• Do you have experience working with New Jersey Title 59?

Experience:

• liability claims handling: 5 years (Required)

Work Location: Hybrid remote in Township of Galloway, NJ 08205

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