Senior Claim Adjuster- CGL

Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A (Superior).

 Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune’s “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We’re a team—supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.

 Our benefits include:

• Health, Dental & Vision plans (HSA & PPO options)
• 401(k) with company match financial advisor access
• Tuition reimbursement & student loan assistance
• Paid parental leave
• Counseling and mental wellness support
• Flexible work and in-office schedules

 Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.

Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

 www.atlanticcasualty.net/about-acic/our-careers/

SUMMARY:

The Senior Claims Adjuster will be capable of independently handling claims in states where ACIC writes business.  The Senior Claims Adjuster will have a higher authority level than an adjuster and will have full responsibility for claims within that authority.  This position has the authority to assign a local independent appraiser / adjuster for fieldwork in the state where the loss occurred. In those cases, they are responsible for controlling the work done by the I/A.  

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Analyze, review, and interpret policies to assess coverage and liability.
• Establish and maintain proper loss and expense reserves on their claims.
• Determine what investigation is necessary on more complicated claims in order to bring a claim to an equitable conclusion for all parties involved.
• Responsible for controlling the work done by the independent adjuster/appraiser.
• Properly document information in the claim file.
• Verify and review damages.
• Determine applicability of coverage and liability.
• Maintain working diary of assigned claims.
• Evaluate and settle claims within assigned authority.
• Return all phone calls promptly.
• Provide excellent customer service.
• Recognize and investigate subrogation.
• Handle total losses and process salvage returns.
• Daily contact with adjusters and/or insureds and/or claimants and/or attorney and/or vendors and/or agents.
• Weekly contact with other department managers.
• Deal with and have access to information that is important and must be kept confidential.
• Handle claims in litigation as assigned.
• Assist in training less experienced adjusters.
• Perform other similar or related duties as assigned.

REQUIRED EDUCATION/EXPERIENCE: 

• A four-year degree from an accredited institution or equivalent experience.
• 5 years’ experience handling claims, including advanced skills in coverage, investigation, litigation, negotiation, damage/injury evaluation, salvage and subrogation.
• Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
• Basic understanding of claims, mathematics, construction, auto physical damage, medical terms and legal issues.
• State adjuster’s license where domiciled. 
• Non-resident adjuster’s license where required in the states where we do business. 
• Be able to demonstrate time management skills; communication skills, verbal and written; strong computer skills. 

MENTAL REQUIREMENTS:

Must be able to clearly define systems and operational problems and draw valid conclusions and recommendations as to how to resolve. Must possess ability to interpret and delegate an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations. Must also be able interact on personnel matters in a secure and confidential manner.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

WORK ENVIRONMENT: 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

The noise level in the work environment is usually moderate.  Works primarily indoors.  

TRAVEL: 5%