Senior Claims Adjuster, Occupational Accident and Worker's Compensation

About Specialty Program Group:

Our goal is topartner with industry-leadingspecialty businesses to provide them with the ability to achieve their goals and optimize their businesses. Specialty Program Group offersaccess to capital and investment deep carrier relationships creative thinking product development and broad distribution while allowing our businesses to maintain the essence of what makes them successful. Specialty Program Group deliversleading-edge specialty expertisebacked by transformativedigital capabilitiesand sophisticateddata and analytics.

About Avant:

Avant is a risk management organization that services several industries. Avant was born through 1976 we created the game-changing product known as Non-Trucking Liability. Today we are reviving that innovative culture on which we were built. Avant continues a forward thinking quest of developing new products and creating new markets.

Avant is the holding company under which our subsidiaries reside:

• Avant Underwriters (AU

• Avant Specialty Claims (ASC)

• Avant Brokerage (AB)

• Avant Supermarket Group (ASG)

• SafeHerb Flexible Workforce

• AvantCare

Each of these centers of innovation contribute to our strength and unique value within the marketplace. At Avant we will continue to attract like-minded leading edge talent and organizations. The result is a one-stop source for insurance solutions

Job Summary

Investigate evaluate and adjudicate claims for workplace injuries that fall under an occupational accident policy which covers non-traditional workers such as independent contractors and/ or commercial truck drivers. This includes but is not limited to coverage verification medical management communicating with Insureds Claimants Attorneys and medical experts. It also includes file documentation negotiating settlements within authority and taking the action necessary to bring all assigned files to a reasonable resolution.

We are seeking an experienced adjuster to join our Occupational Accident team.

The ideal candidate is knowledgeable or experienced in disability or medical management as well as policy language and interpretation. We also require excellent customer service clear and effective communication and analytical skills.

Key Responsibilities

• Ensure that claims handling is conducted in compliance with applicable statutes regulations and other legal requirements and that all applicable company procedures and policies are followed.

• Receive new loss assignments and review all information on new loss reports.

• Handle files involving catastrophic injuries in accordance with our Catastrophic Guidelines.

• Interview insureds claimants witnesses and investigate loss details as required including any paper documents that may be required. This includes but is not limited to; police reports various public records Bills Of Lading lease agreements releases Proof of Loss etc.

• Confirm and evaluate coverage including coverage dates and appropriate limits terms and conditions insuring agreements etc. Document the file relative to the coverage analysis and prepare any coverage position letter required (i.e. ROR Denial Tender Letter etc.).

• Assign claim to outside appraiser and/or adjuster with instructions for investigation and evaluation as needed.

• Review reports from adjusters and/or appraiser and evaluate make judgments and formulate action plans to carry claim to final disposition.

• Evaluate all key components of the claim and formulate plan to carry file to conclusion. This includes applying appropriate coverage application liability analysis Injury/Damage analysis settlement value range and action plan to resolve the file;

• Negotiate claim to conclusion with the insured the claimant or legal representatives as needed.

• Manage litigated files to conclusion. This includes but is not limited to; assigning counsel managing counsel assigned to the case in connection with our Litigation Guidelines and handling all and attorney assigned files in connection with our Best Practices.

• Secure all required closing documents from the insured claimant lien holder or other parties as needed. This includes releases dismissal entries proofs of loss etc.

• Ensure Claims payments are issued in a timely and accurate manner.

• Identify files with subrogation potential and refer files to Subrogation Representative for evaluation and pursuit of potential subrogation claim.

• Document file activity notes and prepare written reports and letters as required.

Qualifications:

• 5-10 years claims experience or equivalent combination of education and experience.

• High school diploma or equivalent required. A college degree is preferred but we also value a strong mix of relevant work experience.

• Candidate with Occupational Accident experience a plus; experience managing bodily injury claims is preferred.

• Work experience in the P&C insurance industry.

Compensation:

Disclosure required under applicable law in California Colorado Illinois Maryland Minnesota New York New Jersey and Washington states: The expected salary range for this position is $75000-$90000 and will be impacted by factors such as the successful candidates skills experience and working location as well as the specific positions business line scope and International is proud to offer comprehensive benefit and total compensation packages: health/dental/vision/life/disability insurance FSA HSA and 401(k) accounts paid-time-off benefits such as vacation sick and personal days and eligible bonuses equity and commissions for some positions.

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HUB International Limited is an equal opportunity employer that does not discriminate on the basis of race/ethnicity national origin religion age color sex sexual orientation gender identity disability or veterans status or any other characteristic protected by local state or federal laws rules or regulations.

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