Major Case Unit Adjuster - Commercial Auto
ReservAbout the role
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’t wait to meet you.
About the role
- We seek a skilled Major Case Unit claims professional to investigate and resolve Reserv's most complex and catastrophic claims. Potential to attend trials, settlement conferences, mediations, and arbitrations. Responsible for the handling of all aspects of the claim assigned, including reserving, communication, documentation, litigation management, evaluation, and negotiation. Additionally, another responsibility would be to participate in and coordinate training in the handling of complex claim matters and projects requiring advanced claim knowledge and experience.
The Major Case Unit Resolution Specialist will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Major Case Unit Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
Who you are
- Highly motivated and growth-oriented. You're excited by the prospect of being part of a tech-driven claims organization.
- Passionate claim professional who cares about the customer and their experience.
- Empathetic. You exercise empathy and patience towards everyone you interact with.
- Sense of urgency - at all times. That does not mean working at all hours.
- Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured’s best interest.
- Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
- 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.
- Anti-status quo. You don’t just wish things were done differently, you action on it.
- Communicative. (we'd love to know what this means to you)
- And did we mention, a sense of humor. Claims are hard enough as it is.
What you'll do
- Managing legal aspects of complex, high value cases, including evaluation of legal process and expenses
- Analyzing and reviewing commercial auto and transportation 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.
- Managing litigation cases related to claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims professionals, attorneys, and other stakeholders
- Collaborating with defense counsel, claims counsel, and claims leadership for strategic planning, including fostering and maintaining positive working relationships with approved defense firms and other vendors in the industry
- Reviewing legal documents and ensuring compliance with litigation management guidelines.
- Analyzing and interpreting policy language and reaching appropriate coverage decisions, drafting complex coverage correspondence and proactively managing primarily litigated claim files from inception to closure
- Directing and controlling the activities and costs of outside vendors including defense counsel, coverage counsel, experts and independent adjusters
- Maintaining adjuster licenses and continuing education requirements
Qualifications
- Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
- Active insurance adjuster’s license by way of a designated home state, or home state
- 12
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