Complex Claims Adjuster

Job Title: Complex Claims Adjuster

Location: Remote, or Hybrid in Willoughby Hills, OH

Company: Primacy Risk Services

About Us: Primacy Risk Services is a leading Third Party Administrator (TPA) specializing in Commercial Trucking Auto Liability Claims. We are committed to being highly responsive to our clients, providing reliable and professional services, and fostering a culture of teamwork and innovation. Our mission is to deliver exceptional value and solutions tailored to the needs of the Transportation Sector.

Position Overview: As a Claims Adjuster specializing in Trucking and Commercial Auto Liability, you will play a crucial role in ensuring our clients' efficient and effective claims resolution. You will be responsible for investigating, evaluating, and negotiating claims to achieve fair and timely settlements. You will handle a manageable inventory of bodily injury, property damage, and/or physical damage claims, with an emphasis on injury and litigated files.

Key Responsibilities:

• Investigates all aspects of loss (coverage, liability and damages) for commercial automobile accidents and general liability claims, including complex claims.
• Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limits of authority.
• Reviews, evaluates, and negotiates moderate to complex/catastrophic injury claims including attorney-represented and litigated claims.
• Determines subrogation or fraud potential and handling approach for assigned claims.
• Handles complex and unusual exposure claims effectively by directing on-site investigations and through participation in mediations, settlement conferences, and trials.

Qualifications:

• Bachelor's degree in a related field or equivalent work experience.
• Holds appropriate state adjuster licensure; may require additional licenses based on the loss locations of our clients.
• Proven experience as a Claims Adjuster, preferably in Trucking and Commercial Auto Liability.
• Strong knowledge of insurance principles, coverage, and regulations.
• Excellent communication and negotiation skills.
• Ability to work independently and as part of a collaborative team.
• Proficient in claims management software and Microsoft Office suite.
• Ability and willingness to cover our after-hours accident reporting line when needed.

Physical Requirements

• Works in an office and/or home-based office setting and remains in a stationary position for long periods of time while working at a desk, on a computer or with other standard office equipment, or while in meetings.
• Requires the ability to verbally communicate and exchange accurate information with customers and associates on a regular basis.
• Requires visual acuity to read and interpret a variety of correspondence, procedures, reports, and forms via paper and electronic documents. Visual acuity is required to assess the accuracy, neatness, and thoroughness of assigned work.
• Requires the ability to prepare written correspondence, reports, and forms using prescribed formats and conforming to rules of punctuation, grammar, diction, and style on a regular basis.
• Requires the ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions
• Performs substantial wrist, hand, and finger movement for continuous computer work.

What We Offer:

• Competitive salary and benefits package
• 20 days of PTO per year.
• Opportunities for professional development and career advancement.
• A dynamic and supportive work environment that values responsiveness, reliability, teamwork, and innovation.

Company Values

• Highly Responsive: Be available and effective for our clients when they need us most.
• Reliable: Always deliver professional, high-quality services.
• Esprit de Corps: We are a highly functioning team that supports one another with loyalty and mutual respect.
• Pioneering: We strive to be creative in delivering value and solutions for our clients.

Pay: $80,000.00 - $95,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Work from home

Work Location: Hybrid remote in Wiloughby Hls, OH 44094