Allied American USA is looking for a team player with ability to successfully and efficiently resolve complex, high-exposure,commercial property damage and bodily injury claims. Candidates should be proficient handling third-party premises liability claims that involve high complexity coverage interpretation, investigation, and/or significant injuries.Commercial claims handling and litigation experience is required. The environment is fast paced, with claims worked promptly and with minimal supervision. This role is for you if you are an expert with policy interpretation, are confident making unusual coverage determinations, and have expertise with litigated claims. An active New York adjusters license and D&O experience is preferred. Additional responsibilities are:

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• Experience drafting Reservation of Rights letters and coverage disclaimers to articulate coverage
• Determine liability and prepare evaluation of bodily injury/property damage claim based on injuries/damages
• Use independent judgment to authorize payments within scope of authority
• Settle claims in the most cost-effective manner; ensure timely issuance of disbursements
• Strong negotiation skills / experience with public adjusters, attorneys and other insurance providers
• Negotiate with claimants and attorneys to resolve claims
• Submit closure to manager or client for review and approval, as necessary
• Review claims assigned for indicators of SIU or Underwriting referrals throughout life of claim; escalate as soon as any indicators are identified
• Maintain complete, pertinent journals for each case throughout life of case
• Maintain up-to-date diary for all claims
• Answer phone calls, voicemails and emails within 24 hours; interview insureds, witnesses, and other parties involved in claims

Requirements

• Seven (7) or more years specialized experience in Liability Claims (Premises, Commercial), required
• Bachelor’s Degree, preferred
• Possess an active FL and home state insurance adjuster license, required
• Active New York adjusters license, preferred
• Previous experience with TPA full claim assignments for commercial property damage liability, bodily injury (BI), contractual claims, and casualty claims, required (5 years minimum - excluding Auto or WC)
• Experience handling D&O, preferred
• Experience reviewing and quality checking field adjusters' preliminary and final reports, coverage analysis, and damage evaluations
• Possesses excellent written and oral communication skills, time management and organizational skills, and customer service skills
• High level of competency with computer technology: MS Outlook, MS Word, Excel, One Drive, etc.

Compensation & Benefits

• Salary is commensurate with experience*
• Medical, dental & vision insurance
• Paid holidays, vacation & sick leave
• Company paid life insurance, ADD & long-term disability
• 401(k) with dollar-for-dollar company match up to 4%
• Fully remote, work from home

*The salary for this role will be determined by a number of factors including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment.

Allied American USA is an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.