Claims Representative

Job description

The Claims Adjuster / Representative is responsible for managing and resolving complex casualty and liability claims for a large, multi state organization. They independently investigate losses, evaluate liability and damages, and develop strategies to bring claims to timely, fair, and cost effective resolution. They serve as a key liaison with claimants, attorneys, insurers, internal leadership, and external vendors. Success in this role requires the ability to manage a high volume caseload while maintaining accuracy, professionalism, and exceptional customer service. This role requires strong judgment, negotiation skills, and working knowledge of insurance coverage, tort law, and claims best practices, and may include on call and after hours responsibilities. Responsibilities: - Investigate casualty and liability claims involving bodily injury, property damage, and related losses. - Independently conduct thorough investigations using interviews, recorded statements, documentation review, data analysis, and evidence preservation. - Evaluate coverage, liability, damages, and exposure in accordance with policy language, statutory requirements, and applicable case law. - Communicate...