Lead Insurance Claims Adjuster - Remote

Our client, a leading national insurance provider, is seeking an experienced and detail-oriented Lead Insurance Claims Adjuster to join their fully remote claims department. This position offers the unique opportunity to work from home while managing a team of claims adjusters and overseeing complex claims investigations. You will be responsible for ensuring accurate and timely claim settlements, adhering to company policies and regulatory requirements, and providing exceptional customer service to policyholders. As a Lead Adjuster, you will mentor and guide junior adjusters, conduct quality reviews of claims files, and assist in the development of training materials. You will investigate, evaluate, and negotiate settlement of claims, including property, casualty, and liability claims. Strong analytical skills are crucial for assessing coverage, determining liability, and calculating damages. You will also maintain detailed and accurate records of all claim activities and communicate effectively with claimants, witnesses, legal counsel, and other involved parties. The ideal candidate possesses extensive knowledge of insurance policies, claims procedures, and relevant state and federal regulations. This role requires outstanding communication, negotiation, and conflict resolution skills, along with a proven ability to lead and motivate a team. Proficiency in claims management software is essential. Join our client's dedicated team and contribute to their commitment to excellence in claims handling, all from the comfort of your home office.

Key Responsibilities: Oversee and manage a caseload of complex insurance claims, including property, casualty, and liability. Lead, mentor, and train a team of insurance claims adjusters, fostering professional development and high performance. Conduct thorough investigations, gather evidence, and assess damages to determine coverage and liability. Negotiate fair and equitable settlements with claimants and their representatives. Ensure compliance with all company policies, procedures, and relevant insurance regulations. Review and approve claim payments, ensuring accuracy and adherence to policy limits. Maintain detailed and organized claim files, documenting all actions taken and communications. Collaborate with internal departments, external vendors, and legal counsel as needed. Identify opportunities for process improvements within the claims department. Provide exceptional customer service throughout the claims process.
Qualifications: Bachelor's degree in Business Administration, Finance, or a related field. Minimum of 5 years of experience in insurance claims adjusting, with at least 2 years in a leadership or senior capacity. Valid state-specific adjuster licenses required. In-depth knowledge of various insurance policies (e.g., homeowners, auto, general liability) and claims handling best practices. Strong understanding of insurance laws and regulations. Excellent analytical, investigative, and negotiation skills. Superior communication, interpersonal, and problem-solving abilities. Proven leadership and team management experience. Proficiency with claims management software (e.g., Guidewire, XactAnalysis) and Microsoft Office Suite. Ability to work independently and manage time effectively in a remote setting.
This position is based in Madison, Wisconsin, US and is fully remote.

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