Investigates, evaluates and resolves Automobile, General Liability, Professional Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned claims of higher loss exposures, coverage issues and includes a pending of litigated files.
Responsibilities:
- Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
- Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority.
- Establishes and executes appropriate action plans for claim resolution including loss cost management.
- Comply with Special Handling Guidelines of Client
- Works collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims.
- Selects and manages service vendors in accordance with company and client special handling guidelines.
- Maintains a strong working knowledge of regulatory and jurisdictional requirements.
- Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
- Communicates effectively with internal and external customers on claims and account issues.
- Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims.
- Effectively manage litigation process and defense counsel to ensured timely and cost effective outcomes.
- Prepares and submits claim status and excess reports to client and their excess carrier(s)
- Potential local travel.
- Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
#LI - Remote
Preferred Qualifications- FL and/or TX and NY License required
- Bachelor's' degree and a minimum of 7 years of progressively responsible experience handling Automobile, General Liability, Professional Liability and Property claims required.
- Familiarity with coverage, negligence principles, investigation and negotiation techniques.
- Obtains and maintains state adjusting licenses, as needed. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license.
- Strong organizational skills and detail oriented.
- Ability to work independently, handle multiple tasks simultaneously and exercise good judgment.
- Excellent verbal and written communication skills.
- Excellent customer service skills.
- Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.
Skills Required
- Florida, Texas, and/or New York adjusting license
- Bachelor's degree
- Minimum of 7 years of progressively responsible experience handling automobile, general liability, professional liability, and property claims
- Familiarity with coverage, negligence principles, investigation, and negotiation techniques
- Obtain and maintain state adjusting licenses and required continuing education credits
- Strong organizational skills and attention to detail
- Ability to work independently, manage multiple tasks, and exercise good judgment
- Excellent verbal and written communication skills
- Excellent customer service skills
- Computer literacy and working knowledge of Microsoft Office, including Word, Excel, and PowerPoint
What We Do
Lodestar Claims & Risk Services, Inc. is a national Third Party Administrator (TPA) that provides comprehensive claims management, risk services, and client support. The company focuses on delivering responsive, results-driven claims services while fostering a culture of accountability, professional growth, and a people-first approach. They act as a trusted partner to their clients, simplifying complex claims processes and protecting people through expertise and critical thinking.
