Senior Insurance Claims Adjuster

Remote, USA Full-time Posted 2026-05-31
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Our client is seeking an experienced Senior Insurance Claims Adjuster to manage complex claims remotely. This role requires a deep understanding of insurance policies, investigation techniques, and negotiation strategies across various lines of business (e.g., auto, property, liability). The ideal candidate will be a self-starter, capable of conducting thorough investigations, evaluating damages, determining coverage, and settling claims efficiently and fairly, all while working from a remote location. You will be instrumental in ensuring customer satisfaction and upholding the company's commitment to integrity and service.

Key Responsibilities: Investigate insurance claims thoroughly, gathering all necessary information, documentation, and evidence. Interview claimants, witnesses, and other relevant parties to obtain detailed accounts of incidents. Evaluate damages and losses incurred by policyholders, utilizing industry knowledge and external resources. Interpret insurance policies to determine coverage and liability for claims. Negotiate settlements with claimants, attorneys, and other parties involved in the claims process. Prepare detailed claim reports, outlining findings, recommendations, and settlement amounts. Manage a caseload of complex claims, ensuring timely progress and resolution. Adhere to all company policies, procedures, and regulatory requirements. Maintain accurate and organized claim files, utilizing claims management software. Provide exceptional customer service to policyholders throughout the claims process. Identify potential cases of fraud and escalate them according to company protocols. Stay current with industry trends, legal requirements, and best practices in claims adjusting. Qualifications: Bachelor's degree in Business Administration, Finance, or a related field; relevant certifications are a plus. Minimum of 5 years of experience as a licensed claims adjuster. Proven experience handling complex claims across multiple lines of insurance. In-depth knowledge of insurance contracts, liability principles, and investigation techniques. Excellent analytical, critical thinking, and problem-solving skills. Strong negotiation and conflict resolution abilities. Proficiency with claims management software and standard office applications. Excellent written and verbal communication skills. Ability to work independently and manage time effectively in a remote work environment. Valid state-issued adjuster's license(s) as required. Commitment to ethical conduct and customer service excellence. This remote position offers a competitive salary, comprehensive benefits, and the opportunity to manage your workload with significant autonomy. Join a reputable insurance provider committed to professional development and work-life balance.

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