Job Description

Position Overview:

The Claims Adjuster – Litigation is responsible for investigating and evaluating assigned cases efficiently and effectively. This role requires maintaining active control of files through a structured diary system and making sound, timely decisions to resolve claims.

Key Responsibilities:

• Verify coverage upon file assignment.

• Obtain insured and third-party statements within 24 and 48 hours, respectively.

• Collect supporting documents (e.g., appraisals, police reports, medical records).

• Identify all applicable exposures.

• Determine and negotiate fair settlements with insured parties, claimants, and/or attorneys.

• Issue proper payments once settlements are finalized.

• Maintain claims diary and ensure accurate file documentation.

• Set and manage proper reserves.

• Achieve performance goals as defined by management.

• Split or transfer files to appropriate units (PIP, BI, Subrogation) as needed.

• Continuously evaluate investigation materials to make informed decisions.

• Refer suspicious claims to the SIU team.

• Prepare and present cases during internal review meetings.

• Analyze new lawsuits to determine claim strategy.

• Attempt pre-trial settlements; transmit cases to defense counsel when necessary.

• Represent the company at depositions, mediations, and trials.

• Collaborate with defense attorneys and supervisors on litigation strategy.

• Perform additional duties as assigned.

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