account manager associate - commercial lines (manufacturing/contractors)

complex claims liability director, tpa oversight

account manager associate - commercial lines (manufacturing/contractors) Jobs in Atlanta

bodily injury claims adjuster Jobs in Atlanta

bodily injury claims adjuster

claims analyst

claims team lead litigation Jobs in Atlanta

claims team lead litigation

complex claims liability director, tpa oversight Jobs in Atlanta

insurance claims adjuster

Midway Insurance Management International

Midway Insurance Management International, Inc. provides Claims Management and Adjusting Services.We understand the insurance industry operates in a world where only the fittest will survive. It follows that our success is inherently linked to the success of our insurance partners. We understand that it takes creativity, resourcefulness and honest hard work to become a successful adjusting company.We provide the solutions to the ever increasing demands of the insured, agents and brokers:<ul><li>Casualty</li><li>Transportation</li><li>Auto</li><li>Litigation Management</li><li>Program Management</li><li>Individual Claims Assignments</li><li>Consulting Services</li><li>Administration</li></ul>Liability Adjuster Position:Job Summary:The Liability Claims Adjuster will be responsible for investigating, evaluating, and resolving liability claims related to commercial trucking incidents. This role requires strong analytical and negotiation skills, along with a deep understanding of insurance policies, claims handling procedures, and regulatory compliance. The ideal candidate will have experience in handling complex claims, working with insured parties, claimants, attorneys, and other stakeholders to ensure fair and efficient settlements.Key Responsibilities:<ul><li>Investigate and analyze liability claims, including reviewing accident reports, witness statements, and other relevant documentation.</li><li>Determine coverage, assess damages, and evaluate liability exposure.</li><li>Communicate with insureds, claimants, attorneys, and other involved parties to gather information and negotiate settlements.</li><li>Collaborate with internal teams, including underwriting and risk management, to assess claim impact.</li><li>Manage claims from initial report through resolution, ensuring timely and accurate processing.</li><li>Maintain detailed and organized claim files in compliance with company policies and industry regulations.</li><li>Work with external experts, such as investigators and medical professionals, when needed.</li><li>Prepare detailed reports and recommendations for claims resolution.</li><li>Stay up to date with industry trends, legal developments, and regulatory changes affecting liability claims.</li></ul>Job Type: Full-timePay: $55,000.00 - $75,000.00 per yearBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: Hybrid remote in Atlanta, GA 30326

Liability Claims Adjuster

SageSure

<div>Overview:

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we're hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Senior Liability Claims Adjuster. A qualified candidate can comfortably and independently handle high severity and complex losses from start to finish. Losses usually involve litigation. You'll be able to effectively communicate and negotiate across multiple parties, including customers, claimants, attorneys and experts. This is a desk-based adjusting position. If you're interested in joining our growing Claims team, we'd love to hear from you.

What you'd be doing:
<ul>
<li>Investigate and document claims involving liability exposures and litigation proceedings,</li>
<li>Conduct detailed policy/coverage reviews, take recorded statements, assign inspections, actively manage reserves, prepare or review damages and injuries, hire coverage and defense council, and negotiate settlements on high severity or complex losses.</li>
<li>Communicate claim updates and decisions verbally and in writing</li>
<li>Handle claims in compliance with all applicable regulations and internal processes</li>
<li>Provide technical expertise and serve as an SME for Claims-related projects</li>
<li>Act as a resource for less experienced staff</li>
<li>Support catastrophe response as needed, to include potential overtime</li>
<li>Any other duties needed to help drive our purpose and fulfill our values</li>
</ul>
We're looking for someone who has:
<ul>
<li>7+ years of property and/or liability claims experience</li>
<li>3+ years of homeowners or commercial liability &amp; litigation claim handling experience</li>
<li>Excellent written and verbal communication skills</li>
<li>Strong organizational abilities</li>
<li>Empathetic interpersonal skills</li>
<li>Highly effective investigation skills</li>
<li>Complete understanding of Section II of a homeowner's policy</li>
<li>Adjuster licensed in home state or holds a non-resident license if license not required; meets requirements for licensing in additional states as needed</li>
</ul>
Highly preferred candidates also have:
<ul>
<li>10+ years of multi-line claim handling experience</li>
<li>5+ years of commercial &amp; personal lines liability experience</li>
<li>Professional designations
</li><li>Licensing in several of the states we do business</li>
</ul>
About the Claims team at SageSure:

On SageSure's Claims team, you'll be doing more than investigating and resolving losses. From the ground up, you'll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you'll coach, mentor and engage with those around you in ways that bring out the best in people and effect change.
You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences. You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business.
<div>
About SageSure: 
 
Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), SageSure is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed markets in the US. Since its founding in 2009, SageSure has experienced exceptional growth while generating underwriting profits for carrier partners through hurricanes, wildfires, and hail. Available in 16 states, SageSure offers more than 50 competitively priced home, flood, earthquake, and commercial products on behalf of its highly rated carrier partners. Today, SageSure manages more than $1.9 billion of inforce premium and helps protect 640,000 policyholders. 
 
SageSure has more than 1000 employees working remotely or in-office across nine offices: Cheshire, Connecticut; Chicago, Illinois; Cincinnati, Ohio; Houston, Texas; Jersey City, New Jersey; Mountain View, California; Marlton, New Jersey; Tallahassee, Florida; and Seattle, Washington. 
 
SageSure offers generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more. 
 
SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in. We recognize that our differences make us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work. 
 
Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit sagesure.com/careers to find a position for you.</div></div>

Senior Liability Claims Adjuster, Complex

Reserv

<div>About Reserv<ul><li>
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. 
 
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you.</li></ul> 
About the role<ul><li>
We are seeking highly organized and customer-focused Resolution Specialists to join our team. The successful candidate will be responsible for communicating with customers on the phone, educating and helping the customer work through their claim to the best possible outcome. This role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The claims you will handle will be transportation-related. 
 
The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, they will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements. 
 
Resolution Specialists are:</li><li>
Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org.</li><li>
Passionate specialists who care about the customer and their experience.</li><li>
Empathetic. Exercises empathy and patience towards everyone interacted with.</li><li>
Sense of urgency - AT ALL TIMES. That does not mean working at all hours.</li><li>
Creative. Finding the right exit ramp (pun intended) for the resolution of the claim that is in the client&rsquo;s best interest.</li><li>
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Working toward a win/win claim resolution.</li><li>
Curious. Wanting to know the whole story so the right decisions are made early and take action to prompt a quick resolution.</li><li>
Anti-status quo. Not just wishing things were done differently but taking the appropriate actions to ensure it.</li><li>
Communicative. Professional written and oral communication with all parties to a claim.</li><li>
And did we mention a sense of humor? Claims are hard enough as it is.</li></ul> 
What you'll do<ul><li>
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests</li><li>
Manage an inventory of litigated and non-litigated cases</li><li>
Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers</li><li>
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures</li><li>
Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders</li><li>
Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry</li><li>
Review legal documents and ensuring compliance with initial suit-handling plan of action</li><li>
Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed</li><li>
Analyze policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure</li><li>
Direct and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters</li><li>
Maintain adjuster licenses and continuing education requirements</li></ul>
Requirements<ul><li>
Active insurance adjuster&rsquo;s license by way of a designated home state, or home state</li><li>
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)</li><li>
Minimum of 3 years of experience on point and concentrated in transportation claims adjusting, ideally with:</li><li><div><ul><li>
Third-party PD</li><li>
Third-party bodily injury, including catastrophic losses</li><li>
UM/UIM bodily injury</li><li>
Litigation experience</li><li>
PIP a plus, but not required</li></ul></div></li><li>
Willing to obtain all licenses within 60 days, including completing state-required testing.</li><li>
Knowledge of state regulations, policy provisions, and standard operating procedures.</li><li>
Willingness to travel for clients and claims need</li></ul>
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy</li><li>
Work from anywhere to facilitate your work-life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment that might be needed. Technology is something that should make your life easier, not harder!</li></ul>
Additionally, we will<ul><li>
Provide a manageable pending to deliver the service in a way always wanted from a dedicated account.</li><li>
Listen to the Resolution Specialist's feedback to enhance and improve upon the long-standing challenges.</li><li>
Work toward reducing and eliminating all the administrative work from a Resolution Specialist.</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment.</li></ul> 
At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team and welcome applicants from all backgrounds.</div>

Bodily Injury Claims Adjuster

Engle Martin

<div><h2 class="jobSectionHeader">Job Description</h2><h3 class="jobSectionHeader">
SUMMARY OF JOB PURPOSE: 
The General Adjuster effectively determines and communicates the extent of loss or damage associated with relatively complex and/or extensive commercial property claims in a variety of business classes. The incumbent in this role is typically assigned loss or damage assessments in a cost range that may exceed $500,000, depending on the adjuster&rsquo;s experience and demonstrated ability for handling larger or more complex claims.</h3><ul><li>This is a commuting position and requires weekly travel throughout our Savannah, GA territory to support claims-related responsibilities. This is not a Desk adjusting role.
</li></ul><h3 class="jobSectionHeader">PRIMARY JOB RESPONSIBILITIES:</h3><ul><li><h3 class="jobSectionHeader">
Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites, governmental facilities, schools, clinics, or hospitals; assesses loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, earthquakes, fire, vandalism, or accidents.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Uses a broad and in-depth knowledge of property and construction, and/or knowledge of the specific industry or business affected, personally conducts property inspections and photographs claim sites as necessary to depict and substantiate losses or damage, or the lack thereof; coordinates or leads the work of a large, diverse team of experts.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Thoroughly investigates and researches all aspects of claims through the use experts such as architects, engineers, construction consultants, police and fire investigators, specialists, accountants, and others to fully and accurately assess the cause of loss, extent of the loss including damage assessment and subrogation potential.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Works cooperatively with attorneys, public adjusters, and carrier&rsquo;s examiners as needed to conduct investigations, confirm findings and support evaluations.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Effectively communicates with all stakeholders including insureds, claimants, carriers, brokers and managing agents, effectively and clearly defining expectations, timelines and updates on claim process and agreements. Often needing to exhibit patience, empathy and direction to the claim process in circumstances surrounding a large event or significant loss.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Applies a thorough understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings; demonstrates understanding of a variety of coverage and loss types.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Recommends the reasonable and proper amount the insurance company should pay on a claim.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Ensures the accuracy of information collected and reported and guards against fraudulent claims.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, including reports on complex and/or highly detailed claims, providing conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially unusual or complicated situations, and submits reports and documents in a timely manner and in accordance with insurer&rsquo;s standards and expectations. Effectively uses software systems such as Xactimate as necessary to produce accurate estimates. Applies in-depth knowledge and skills related to a wide variety of loss types, including but not necessarily limited to time element, builders&rsquo; risk, and stock losses.</h3></li></ul><ul><li><h3 class="jobSectionHeader">
Maintains accurate, thorough field notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures, and practices and with accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.</h3></li></ul><h3 class="jobSectionHeader">
REQUIRED EDUCATION &amp; EXPERIENCE:</h3><ul><li><h3 class="jobSectionHeader">
Bachelor&rsquo;s Degree Preferred</h3></li><li><h3 class="jobSectionHeader">
6-10 years&rsquo; experience in commercial property loss adjusting; experience with catastrophe claims; wide range of experience in various classes and types of business risk, including manufacturing, retail, industrial, habitational, and hospitality.</h3></li><li><h3 class="jobSectionHeader">
Ability to understand claims adjudication process with sound knowledge of commercial and residential construction industries, and commercial coverages.</h3></li><li><h3 class="jobSectionHeader">
Knowledge of property claim law.</h3></li><li><h3 class="jobSectionHeader">
Active license, or ability to promptly obtain such, in the assigned state(s).</h3></li></ul><h3 class="jobSectionHeader">
Desired Knowledge, Skills &amp; Abilities:</h3><ul><li><h3 class="jobSectionHeader">
One or more of the following designations preferred: CPCU, ARM, AIC, AINS.</h3></li><li><h3 class="jobSectionHeader">
Exceptional written and verbal communication skills.</h3></li><li><h3 class="jobSectionHeader">
Ability to manage multiple priorities, time sensitive tasks, and meet deadlines.</h3></li><li><h3 class="jobSectionHeader">
Passionate about providing exceptional customer service.</h3></li><li><h3 class="jobSectionHeader">
Skilled in analyzing, interpreting, and reporting pertinent information (discerning the essential from the non-essential).</h3></li><li><h3 class="jobSectionHeader">
Strong research and investigative skills.</h3></li><li><h3 class="jobSectionHeader">
Conflict resolution and negotiation abilities</h3></li><li><h3 class="jobSectionHeader">
Highly organized, detail oriented and disciplined in time management</h3></li><li><h3 class="jobSectionHeader">
Excellent problem solving and critical thinking skills.</h3></li><li><h3 class="jobSectionHeader">
Ability to work both independently and as part of a team</h3></li><li><h3 class="jobSectionHeader">
Exhibits a positive attitude and growth mindset about business goals of company, personal goals and continued development as an individual</h3></li><li><h3 class="jobSectionHeader">
Desire to have a direct impact, in small losses and in response to large events</h3></li><li><h3 class="jobSectionHeader">
Microsoft Word, Microsoft Excel, Xactimate, Corelogic, and ability and openness to adapt to new technologies</h3></li></ul><h3 class="jobSectionHeader">
WORKING CONDITIONS:</h3><h3 class="jobSectionHeader">
Frequently requires work to be performed at the site of the property damage or loss, including locations where disasters or catastrophes have occurred. May require evening, overnight, and weekend travel and work. During catastrophes, required travel could last 2 weeks or more. The incumbent could be exposed to outside weather and environmental conditions, including, but not limited to, extreme heat, cold, and precipitation. Could also be exposed to inside environmental conditions, including, but not limited to noise, vibrations, proximity to moving mechanical parts, electrical current, heights, chemicals, fumes, odors, dusts, mists, gases, or poor ventilation.</h3><h3 class="jobSectionHeader">
The incumbent may be required to work in close quarters, crawl spaces, small, enclosed rooms, narrow aisles, passageways, or other enclosed areas, requiring physical agility and resistance to claustrophobia. The incumbent may be required to work in high areas such as roofs or scaffolding, requiring physical agility, and balance.</h3><h3 class="jobSectionHeader">
PHYSICAL ACTIVITIES AND REQUIREMENTS:</h3><h3 class="jobSectionHeader">
In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder.</h3><h3 class="jobSectionHeader">
The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.</h3></div>

Senior Property Adjuster - Savannah, GA

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you. 
About the role
We are seeking a highly organized, detail-oriented, and customer-focused Non-Standard Claims Adjuster to support our deposit replacement and surety programs. In this role, you will manage first-party claims involving non-standard policy language and complex contractual agreements. Success requires strong analytical skills and the ability to interpret policy forms, lease agreements, financial ledgers, and supporting addenda with accuracy and confidence.
You will work directly with property managers, policyholders, and internal stakeholders to drive fair, thorough, and timely claim outcomes. This role requires clear communication, sound judgment, and the ability to navigate nuanced coverage positions while maintaining a high level of professionalism and empathy.
This position is ideal for an adjuster who thrives in a fast-paced, evolving environment and enjoys working within specialty programs. The right candidate is adaptable, solutions-oriented, and comfortable balancing high claim volume with exceptional service delivery and compliance standards. 
Who You Are:<ul><li>
Highly motivated and growth-oriented. You&rsquo;re excited about building a tech-driven claims organization.</li><li>
Passionate adjuster. You care deeply about the customer experience and delivering fair, timely resolutions.</li><li>
Empathetic. You exercise patience and understanding in every interaction.</li><li>
Urgent but balanced. You work with a sense of urgency but understand that doesn&rsquo;t mean working at all hours.</li><li>
Creative problem-solver. You find innovative ways to resolve claims efficiently while keeping the insured&rsquo;s best interests in mind.</li><li>
Comfortable with conflict. You see conflict as a conversation, not a confrontation&mdash;an opportunity to collaborate and resolve issues.</li><li>
Curious. You want to know the whole story to make informed decisions early and drive prompt resolutions.</li><li>
Anti-status quo. You don&rsquo;t just wish things were different&mdash;you take action to improve processes and outcomes.</li><li>
Communicative. You can break down complex topics, actively listen, and ensure clarity in every interaction. (What does this mean to you? We&rsquo;d love to know!)</li><li>
Sense of humor. Claims are challenging&mdash;you know how to keep things light when needed.</li></ul> 
What you'll do<ul><li>
Provide prompt, courteous, and high-quality customer service.</li><li>
Manage a high volume of low-complexity claims; set and adjust reserves appropriately.</li><li>
Gather necessary information and documentation to initiate the claims process, explain coverage, and outline the next steps.</li><li>
Analyze contracts, financial ledgers, lease agreements, and addenda to determine claim validity and obligations.</li><li>
Ensure compliance with state regulations, policy provisions, and internal procedures.</li><li>
Communicate with all involved parties and issue payments within the set authority.</li><li>
Contribute to the continuous improvement of claims guidelines, best practices, and workflows.</li><li>
Oversee and direct investigative service providers, working closely with clients, counsel, and other stakeholders.</li><li>
Stay informed on industry trends, legal decisions, and policy changes affecting claims handling.</li></ul> 
Qualifications<ul><li>
Bachelor&rsquo;s degree preferred (but if you meet the other qualifications, don&rsquo;t let that stop you from applying!).</li><li>
3 years of experience in general claims handling or related insurance roles.</li><li>
Ability to interpret non-standard policy language, contract terms, and lease agreements.</li><li>
Have active adjuster license(s) and be willing to obtain all required licenses within 60 days, including completing state-required testing</li></ul><ul><li>
Familiarity with state regulations, policy provisions, and claims procedures.</li><li>
Strong analytical skills&mdash;able to evaluate complex data and make sound decisions.</li><li>
Curious, proactive, and always looking for better ways to do things.</li><li>
The desire for continuous learning and professional growth.</li><li>
Willingness to travel for client and claim needs.</li><li>
Excellent verbal and written communication skills with strong attention to detail.</li><li>
Superior organizational skills&mdash;able to prioritize and manage workload efficiently.</li><li>
Comfortable with an Apple laptop, Google Docs, Sheets, and other relevant software.</li></ul>
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Specialty Risk/Non-Standard Claims Resolution Specialist

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you. 
About the role<ul><li>
Come join an amazing and collaborative team! We are seeking a highly organized and customer-focused General Liability Adjuster with construction defect experience to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. 
 
The ideal candidate has a willingness to work through a design process that supports the quickest claim resolution with the best outcome. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.</li></ul>
**While this position may not be open just yet, we are looking ahead. Submit your application to stay on our radar for future roles as we are growing quickly! 
 
What you'll do<ul><li>
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests</li><li>
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action</li><li>
Manage an inventory of claims, analyze coverage and identify any potential coverage issues.</li><li>
Establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim</li><li>
Ability to handle all aspects of construction defect claims</li><li>
Ability to handle all aspects of general liability claims including but not limited to Slip and Falls, Habitational, Risk Transfer, Construction, and New York Labor Law</li><li>
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures</li><li>
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority</li><li>
Provide input for continuous development of claims guidelines, best practices, and process improvements</li><li>
Oversee and direct outside investigative service providers, client counsel and investigative services to resolve the claim while closely with the client.</li><li>
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications</li></ul> 
Who you are<ul><li>
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.</li><li>
Passionate adjuster who cares about the customer and their experience.</li><li>
Empathetic. You exercise empathy and patience towards everyone you interact with.</li><li>
Sense of urgency - at all times. That does not mean working at all hours.</li><li>
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured&rsquo;s best interest.</li><li>
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.</li><li>
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.</li><li>
Anti-status quo. You don&rsquo;t just wish things were done differently, you action on it.</li><li>
Communicative. (we'd love to know what this means to you)</li><li>
And did we mention, you have a sense of humor. Claims are hard enough as it is.</li><li>
You are collaborative and a team player.</li></ul> 
Requirements<ul><li>
Bachelor's degree. JD, Professional insurance designations strongly preferred.</li><li>
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license</li><li>
Minimum of 5 years of experience ideally with;</li><li><div><ul><li>
General Liability (Premise, Habitational, Auto, Garagekeepers, BOP&rsquo;s, Dwelling)</li><li>
Construction Liability is required.</li><li>
Employers Liability.</li><li>
Liquor Liability/Dram Shop.</li><li>
Complex claims involving litigation.</li><li>
Policy interpretation. Drafting Reservation of Rights letters, coverage declinations.</li><li>
Third-party bodily injury.</li><li>
Third-party litigated bodily injury/property damage.</li></ul></div></li><li>
Willing to obtain all licenses within 45 days, including completing state required testing</li><li>
Knowledge of state regulations, policy provisions, and standard operating procedures</li><li>
Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures</li><li>
Curious and motivated by problem solving and questioning the status quo</li><li>
Desire to engage in learning opportunities and continuous professional development</li><li>
Ability to collaborate with colleagues within and outside your department</li><li>
Willingness to travel for client and claims needs</li></ul> 
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Pipeline General Liability Construction Defect

<div><h3 class="jobSectionHeader">About Reserv</h3>
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you.<h3 class="jobSectionHeader"> 
About the role</h3>
As a Claims Team Lead, Litigation at Reserv, you will be a working leader providing support to a claims manager with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing work done within the Commercial Auto Claims adjusting staff. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim.<h3 class="jobSectionHeader">
Who you are</h3><ul><li>
Highly motivated and growth-oriented, impactful and influential</li><li>
Claims professional - you are knowledgeable and have a track record of success in commercial auto claims adjudication.</li><li>
Strong leader - through formal management experience or a proven track record of peer and project leadership, you have demonstrated the ability to motivate, support, and teach a team to help them excel in their roles.</li><li>
Tech-oriented - You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics.</li><li>
Passionate - Claims professional who cares about their team, the customer, and their experience</li><li>
Empathetic leader - You exercise empathy and patience towards everyone you interact with</li><li>
Sense of urgency - at all times. That does not mean working at all hours</li><li>
Creative - You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems</li><li>
Curious - You want to know the whole story so you can make the right decisions early and be decisive when it counts.</li><li>
Problem solver - You have the ability to take a &lsquo;deep dive&rsquo; into the details of the business while staying focused on the big picture.</li><li>
Anti-status quo - You don&rsquo;t just wish things were done differently; you act on it</li><li>
Communicative - You are comfortable with and understand the importance of phone communications throughout the claims process.</li><li>
And did we mention a sense of humor? Claims are hard enough as it is!</li></ul><h3 class="jobSectionHeader">
What we need</h3>
We need you to do all the things typical to the role:<ul><li>
Oversee a team of commercial auto adjuster direct reports</li><li>
Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery</li><li>
Align team with client and customer expectations of the claims process</li><li>
Serve as a resource for escalated claims</li><li>
Foster a positive work environment, promote teamwork, and encourage professional growth and development</li><li>
Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team</li><li>
Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation</li><li>
Serve as backup/ leader when the Manager is out of office</li><li>
Responsible for initial onboarding tasks/ access and new hire cultural immersion</li><li>
SME for first-line questions, escalations, roundtable discussions</li><li>
Increased reserve and payment authority with the ability to assist with moderate reviews</li><li>
Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees</li></ul><h3 class="jobSectionHeader">
Requirements</h3><ul><li>
5+ years of insurance claims experience in multiple lines of business with bodily injury experience</li><li>
3+ years of leadership experience with a preference for experience managing in a remote environment</li><li>
Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes</li><li>
Demonstrated commitment to quality, accuracy, and attention to detail</li><li>
Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information</li></ul><h3 class="jobSectionHeader">
Benefits</h3><ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Claims Team Lead Litigation

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