Claims Adjuster Job Description template and pdf with duties [2024]

Job summary 1

The Claims Adjuster will examine claims forms and other records to determine carrier liability, interview or correspond with claimants or other relevant parties to determine claim settlement, denial, or review, negotiate claim settlements and recommend litigation when settlement cannot be negotiated, interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims, and prepare report of findings of investigation.

Duties & Responsibilities 1

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Investigate and assess damage to property and create or review property damage estimates.
Review police reports or physical property damage to determine the extent of liability.
Analyze information gathered by investigation, and report findings and recommendations.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Collect evidence to support contested claims in court.
- Calmly and efficiently collect information from claimant and agents to determine culpability and restitution.

Requirements & Skills 1

Able to use desktop computers, laser fax machine, laser printers, scanners, multi-line telephone systems, and voice mail systems
Microsoft Office Software: Excel, Word, Outlook, Access, Sharepoint
- Efficient data entry ability
- Good phone etiquette and customer service skills
- Problem-solving skills and an ability to listen

Job summary 2

We are seeking a motivated Claims Adjuster. Under the supervision of the Property Claims Manager the Liability Claims Adjuster will handle low to mid-level commercial liability auto and property claims that do not have a bodily injury component.

Duties & Responsibilities 2

Requirements & Skills 2

Job summary 3

To analyze mid-and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

Duties & Responsibilities 3

Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
- Maintains professional client relationships.

Requirements & Skills 3

Job summary 4

We are seeking a Claims Adjuster to add to our team.

Duties & Responsibilities 4

Contact insureds and claimants regarding disposition and settlement of total loss claims.
Assist appraisal staff with the preparation of vehicle evaluations and salvage reports.
Review vehicle evaluations and communicate car value to owners.
Negotiate settlements with insured/claimant in accordance with recommended guidelines and limits of authority.
Coordinate all total loss claims with salvage to promptly dispose of vehicle to lessen salvage costs.
- Coordinate with companion adjusters on pending files requiring additional investigation, confirmation of coverage, fire, theft and/or suspicious cases.
- Maintain accurate and timely diary entries to stay abreast of claims settlement activities.
- Follow up with car rental companies regarding authorized rental vehicles.

Requirements & Skills 4

Bachelors degree in Business or a related field.
1-3 years of relevant work experience.
Knowledge of vehicle damages, equipment, sales and values.
Strong negotiation and settlement skills.
The ability to plan, organize and expedite a large number of claims.
Material damage claims handling experience is preferred.
- Proven communication and customer service skills are required.
- Computer skills along with proficiency using Microsoft Office applications (Word, Windows, Excel).
- Ability to perform basic math calculations (addition, subtraction, multiplication and division) as well as the calculation of averages and percentages

Job summary 5

As a member of the Property Claims Team, Claims Adjuster will play a vital role in providing an outstanding customer experience by using your investigative and negotiation skills to resolve a variety of homeowner claims in a fast paced, detail-oriented, team environment. In this role, you will travel to the loss site to conduct thorough analysis. Every day is a new exciting challenge, as our Claims Adjusters use cutting edge homeowner’s products and services to help our customers through the claims process.

Duties & Responsibilities 5

Handle moderate- severe complexity claims assigned under little supervision.
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages.
- Explain coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements.
- Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.
- May be called upon for catastrophe duty

Requirements & Skills 5

Job summary 6

The Claims Adjuster responds to incoming telephone, internet, email, and written claim inquiries from policyholders. Investigates and negotiates settlement of claims.

Duties & Responsibilities 6

Operating within settlement authority and established guidelines, provides accurate adjudication of property claims
Contributes positively to loss and expense ratios through proper and necessary indemnity and expense payments
Determines a basis for claims payment amount, to include evaluation of other insurance coverage and potential for subrogation. Assembles and verifies required documentation and authorizes settlements in accordance with policy terms and established guidelines
- Makes outbound calls to claimants to obtain required information, provide claim status updates, follow up on previous contacts, or provide counsel on insurance decisions
- Creates and distributes required documentation (both system and hard-copy) relating to completed actions
- Performs other duties as assigned in support of the unit and company objectives.

Requirements & Skills 6

Associates Degree / Bachelors Degree
Excellent verbal communications skills, to include a courteous, confident demeanor and appropriate use of grammar and vocabulary
Ability to communicate telephonically and in written form moderately complex insurance terminology to policyholders in a clear and concise manner
Working knowledge of MS Outlook and Word
Keyboard skills of at least 30wpm
Ability to perform basic math functions to include calculation of percentages and ratios
- Ability to quickly gather facts and information needed to determine appropriate action on assigned claims
- Demonstrates sound judgment and decision-making skills
- Ability to accomplish work according to established priorities and procedures

Job summary 7

We are looking for a Claims Adjuster.

Duties & Responsibilities 7

Provide Ethical, Responsive, Personal and Efficient claim service
Adjustment of low/moderate or high complexity homeowner property damage claims
Interact with policyholders, agents, contractors, independent adjusters and other vendors/partners to facilitate accurate, prompt claims resolution
Effectively manage workload while maintaining focus on claims quality and timely customer service
- Recognize and refer claims for subrogation and fraud potential
- Conduct field investigations and inspections of damaged property, and direct vendors in such activity
- Serve as a claims technical resource

Requirements & Skills 7

7-10+ years claims adjusting experience in the insurance industry; claims litigation preferred
Adjusting skills commensurate with job responsibilities
Bachelor’s or Associate’s degree preferred or equivalent business/industry experience
Insurance industry designation(s)/certification(s) preferred
Demonstrated proficiency with Microsoft Office products and claims related software programs
- Strong communication skills
- Experience in conflict resolution and problem solving
- Advanced working knowledge of insurance policies and regulatory environments

Job summary 8

Ensures claims are fairly and accurately investigated and evaluated in accordance with established timelines, customer service standards, and quality standards. Responsible for coverage and damages analysis of residential claims, which includes the ability to negotiate and complete settlements fairly and equitably with all parties.

Duties & Responsibilities 8

Determines insurance coverage and extend of company's liability.
- Inspects, scopes, approves, and adjusts estimates of damage, as well as determines loss amounts. Uses estimating software to produce accurate scopes of damage. Estimates cost of repair, replacement, or compensation.
- Manages diaries and tasks in the Claims System. Effectively manages pending files in accordance with Claims Best Practices.
- Prepares report of findings and negotiates settlement.

Requirements & Skills 8

Bachelors degree; four years of prior work experience with a history of high performance within financial services, customer service, construction, property management, or related field; or some combination thereof. Minimum three years of claims experience required, five preferred. Property and casualty experience required.
Adjuster License in applicable states required.
- Intermediate knowledge of residential construction, roofing, and repair techniques strongly preferred.
- Experience preparing repair estimates in Xactimate and interpreting estimates using unit pricing.
- Must possess a valid drivers license.

Job summary 9

As a key member of our sales team, you'll play an important and high profile role servicing and growing a book of business. Come take advantage of this great opportunity to learn new skills and expand on your experience with a dynamic agency where people are rewarded for their hard work and commitment.

Duties & Responsibilities 9

Coordinates with the Agent and/or Account Executive to provide assistance in determining proper coverage
Field underwriting and rating for new accounts
Maintains knowledge of new products and initiatives
Pursues a program for development of personal and business skills
Actively solicits expiration dates from clients and prospects
Meets the production requirements and goals assigned by the agent or agency manager
- Maintains monthly sales record book and provides a copy for review to the agent
- Completes daily/weekly checklist of activities to turn into the agent
- Performs other duties assigned

Requirements & Skills 9

Prior insurance experience in a captive agency will give you an advantage
An associate's or bachelor's degree will serve as a solid foundation as you continue to learn new concept

Job summary 10

We are hiring an experienced Claims Adjuster to handle claims.

Duties & Responsibilities 10

Assess damages to both personal and comercial properties.
Complete an estimate for damages using Xact 28.
- Complete reports detailing the cause of damage related to the claim.
- Policy interpretations to verify that the damages are covered in the policy.
- Negotiate the claim settlement bwith the insured

Requirements & Skills 10

5 years of Adjusting Experience
- Proficient in Xactaware 28
- Superior Communications skills
- A strong attention to detail as adjusters must carefully review documents and policies

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