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.
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.