Benefits:

Disability coverage

Life insurance

Flexible Spending Account

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job highlights

Manage moderate-severe in complexity commercial property and casualty losses. Investigate claims, evaluate coverage, and make claim settlement payments based on estimated damage pursuant to the policy coverage and authority. Track and manage assigned independent adjusters, experts, TPA’s and other vendors as needed. Applicant must have experience processing CGL, E&O, EPLI and SML claims among other liability claims.

Qualifications

Adjusters Licenses required

Professional certifications as applicable to line of business preferred.

Bachelor's degree from an accredited college or university preferred.

Six (6) years of claims experience or equivalent combination of education

Must have experience processing CGL, E&O, EPLI, and SML claims among other liability claims.

Thorough knowledge of claims management processes and procedures for multiple product lines with a concentration in complex commercial property and casualty coverages.

Excellent oral and written communication, including presentation skills

PC literate, including Microsoft Office products

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Excellent negotiation skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

Responsibilities

PRIMARY PURPOSE: Provides excellent customer services skills to a diverse client base that results in more than satisfied clients. A roll up your sleeves mentality is paramount.

Supervise the operation of multiple external teams of examiners and technical staff for property and liability claims of clients; to monitor claim activities; to provide technical direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims

Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office

Compiles reviews and analyzes management reports and takes appropriate action

Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards

Acts as second level of appeal for client and claimant issues regarding claim specific, procedural, or special requests

Reviews reserve amounts on all claims

Manage and monitor self-insured retention accounts

Monitors third party claims; maintains periodical review of litigated claims, questionable claims, and sensitive claims

Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written summary of specific claims as requested

Ensures claim files are coded correctly and adequate documentation is made

Performs other duties as assigned

Supports the organization's core mission

Skills & Knowledge

Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion

Ability to meet deadlines

Ability to manage multiple priorities simultaneously

Ability to manage work-related stress

Ability to interpret written technical information

Capability to build and maintain positive relationships

Ability to be an avid listener and conscientious member of our team

Work Environment

Waldorf Risk Solutions strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Waldorf Risk Solutions operates, and we believe the best solutions draw upon diverse perspectives, experiences, and skills. We operate in such a way where everyone, regardless of their singular background, could contribute to our collective success.

Waldorf Risk Solutions offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, flexible spending accounts, tuition reimbursement. At Waldorf Risk Solutions, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.