Casualty Claims Adjuster
Employer not yet confirmed · San Juan, PR, United States
Role Purpose
The Claims Adjuster is responsible for the proactive management of a high-volume portfolio of casualty claims, multinational accounts, while delivering exceptional client service and timely, accurate claims resolution. The role applies technical expertise and strategic cost- benefit analysis to develop effective claims handling strategies that mitigate exposure, control indemnity and defense costs, and achieve optimal outcomes. Working together with insureds, brokers, external adjusters, and internal stakeholders, the Claims Adjuster ensures regulatory compliance, maintains strong client relationships, and supports the organization’s commitment to operational excellence and superior claims management.
Key Responsabilities
-
- Manage a portfolio of casualty claims, emphasizing extrajudicial Bodily Injury and Property Damage matters.
- Develop and implement effective claims strategies based on legal, factual, and coverage analysis to achieve timely and cost-effective outcomes.
- Deliver exceptional client service by maintaining proactive communication with insureds, brokers, and other stakeholders providing timely update and strategic recommendations.
- Handle multinational claims by coordinating with local adjusters, and international partners to ensure compliance and appropriate resolutions.
- Evaluate liability, damages, and exposure, establishing and maintaining appropriate reserves in accordance with company guidelines and regulatory requirements.
- Negotiate settlements within delegated authority to achieve favorable business outcomes.
- Ensure compliance with internal policies, regulatory requirements, and service level agreements through accurate documentation, timely handling and file quality management.
- Identify coverage issues, emerging risks, and potential subrogation or recovery opportunities, escalating matters as appropriate with manager and underwriting teams.
-
Requierements
- Independent adjuster license or ability to obtain it within 6 months of employment.
- Juris Doctor preferred.
- Excellent communication and problem-solving skills.
- Demonstrate flexibility and adaptability to work in a fast moving and challenging environment.
- Strong understanding of insurance principles, claims processes, and relevant legislation.
- Ability to manage multiple complex cases and deadlines simultaneously.
Experience
- Significant experience in handling casualty claims.