Senior Account Claims Adjuster - General Liability & Commercial Auto - Remote Opportunity

PMA Insurance Group Mount Laurel , NJ 08054

Posted 2 months ago

Investigates, evaluates and resolves General Liability and Automobile claims for self-insured 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.


  • 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)

  • 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.

  • Bachelors degree or equivalent experience.

  • Minimum of 5 years of experience handling General Liability and Commercial Auto claims required. Additional Professional Liability and/or Property experience a plus.

  • Familiarity with coverage, negligence principles, investigation and negotiation techniques.

  • Adjuster licensing and experience in multiple states.

  • 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.

  • Opportunity to work remotely for highly qualified candidates not local to a PMA office.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Claims Trainee Property Damage

Plymouth Rock

Posted 7 days ago

VIEW JOBS 6/24/2022 12:00:00 AM 2022-09-22T00:00 Plymouth Rock has been awarded the #1 Large Employer in New Jersey in 2021. We would love for you to join our award winning team! This individual is responsible for the handling of Auto Property Claims in accordance with NJ Unfair Practices Act. The environment is fast paced with heavy phone work. The position requires patience and the ability to function professionally in adversarial situations. Essential Functions and Responsibilities * Investigate and interpret policy provisions, endorsements and conditions to make a coverage determination in the automobile property claim. * Identify and investigate Contested Coverage Claims with recommendation prepared for coverage committee. * Responsible for the investigation of the auto accident to make a liability assessment. This includes interviewing first and third party claimants, witnesses, investigating officers and other relevant parties, along with securing pertinent records, documentation and loss scene information. * Analyze the investigation to determine proximate cause, negligence, and damages. * Evaluate and adjust reserves as necessary. * Prepare dispatch instructions for field personnel to inspect vehicles. * Negotiate and settle claims within his/her individual authority. * Submit claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate. * Maintain an effective follow-up system on pending files. * Prioritize and handle multiple tasks simultaneously. * Adjust to fluctuating workload. * Advise insureds, claimants, brokers on the status of the claim. * Act as an intermediary between the Company, preferred vendors and customers. * Resolve all disputes that may arise. * Ensure that service, loss and expense control are maintained at all times. * Adhere to privacy guidelines, law and regulations pertaining to claims handling. * Investigate and initiate subrogation when applicable. * Handle and respond to arbitration and special civil part lawsuits pertaining to property damage. * Participate in catastrophic claim handling as requested/needed. This may include traveling to other locations and extended hours. * Other duties as assigned. Qualifications and Education * Excellent communication, organization and interpersonal skills. * Strong customer service, organizational, verbal, and written skills are required. * Basic personal computer skills including working knowledge of Microsoft Office Suite products. * Recent college graduates are encouraged to apply! * A Bachelor's degree from an accredited four-year college or university is a plus. About the Company The Plymouth Rock Company and its affiliated group of companies write and manage over $1.6 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent". Plymouth Rock Mount Laurel NJ

Senior Account Claims Adjuster - General Liability & Commercial Auto - Remote Opportunity

PMA Insurance Group