General Liability Claims Adjuster

Description

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.

 

Who you are

• Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
• Passionate adjuster 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, you have a sense of humor. Claims are hard enough as it is.

 

What we need

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
• Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
• Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
• Coordinate the repair of damaged vehicles and assist with rental reimbursement
• Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss
• Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
• Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
• Provide input for continuous development of claims guidelines, best practices, and process improvements
• Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim
• 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

 

Requirements

• Bachelor's degree. JD, Professional insurance designations strongly preferred.
• Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license
• Minimum of 3 years of experience ideally with;
  • General Liability (Premise, Habitational, Auto, Garagekeepers, BOP’s, Dwelling)
  • Construction Liability.
  • Employers Liability.
  • Liquor Liability/Dram Shop.
  • Complex claims involving litigation. 
  • Policy interpretation. Drafting Reservation of Rights letters, coverage declinations. 
  • Third-party bodily injury.
  • Third-party litigated bodily injury/property damage.
• Willing to obtain all licenses within 45 days, including completing state required testing
• Knowledge of state regulations, policy provisions, and standard operating procedures
• Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures
• Curious and motivated by problem solving and questioning the status quo
• Desire to engage in learning opportunities and continuous professional development
• Willingness to travel for client and claims needs

Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, hap