Sr. Casualty Claims AdjusterLocation: La Jolla, CA; Remote
The Details:The Sr. Casualty Claims Adjuster, under direction from the Senior Vice President, Head of Casualty Claims, will be responsible for handling in-house casualty claims and overseeing the third-party administrator claims. You will handle all aspects of claims notices and files related to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. It will support and assist functional departments, including marketing, risk management, finance and actuarial.
What will you do:- Day to day handling of caseload of line of business claims
- Evaluating information on coverage, liability, and damages to resolve claims on reasonable terms and at an appropriate value.
- Communicate with policyholders, experts, counsel and others to determine the extent of exposure to the insured and the company.
- Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.
- Evaluate claims and make recommendations to management regarding claim resolution plans/strategies.
- Negotiating settlements.
- Retaining, directing, and managing litigation counsel.
- Participate on, and sometimes lead, audits of TPA partners.
- Respond to internal and external requests for information from management, underwriters, actuarial and other business partners.
- Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of mainstream casualty and property losses.
- Prepare timely and accurate reports to management regarding significant claim developments.
- Other duties as assigned
What we are looking for:- 5-8 years of relevant experience with a degree of specialized and technical competence in the handling of General Liability/Auto claims and Premises Liability claims. Experience with Professional Lines claims is a plus.
- Proficiency in interpreting and analyzing the application of general liability policies, contracts, lease agreements, risk transfer opportunities etc.
- Ability to multi-task varied and significant matters.
- Excellent oral and written communication skills.
- An inclusive mindset and a team player with an open, transparent communication style.
- Demonstrable track record of working autonomously, time management skills and driving progress.
- Be intellectually curious, think creatively, and pragmatic.
- Experience in a work environment that requires collaboration across work groups.
- Working knowledge of industry best practices, procedures and case law
- Ability to work independently and assimilate learning materials on many different subjects from various sources.
- Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.
- Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
- Eager to work in a fast-paced environment.
- Adjuster's License or willing to pursue licensure within six months of hire.
We love people who want to:- Build strong relationships through transparency, trust, and respect for each other.
- Work in an agile environment, with a resilient mindset to find creative solutions to challenges.
- Collaborate and celebrate diverse perspectives, promoting inclusivity and equality.
- Do the right thing with strong conviction and integrity.
- Be bold and innovative to help make an impact.
- Demonstrable track record of working autonomously and driving progress
- Be intellectually curious, think creatively, and pragmatic
If you thrive in a dynamic environment, and like working with happy, authentic, talented people, you'll enjoy a career with Palomar!What will you get in return?- Full Suite of Medical Benefits
- Long Term Financial Incentives - STOCK!
- 401k with 3.5% Automatic Fully Vested Employer Contributions
- Competitive PTO + Holiday Program
- Lifestyle Spending Allowance
- Professional Development Assistance
- Career Exploration Opportunities
- Regular company-wide social events (even virtually!)
- To learn more visit us at www.plmr.com
Pay Range: $85,000 - $130,000 + Bonus Potential & Participation in our Competitive Long-Term Incentive (LTI) Program.
The above pay range is for all US-based roles based on function and level, benchmarked against companies of similar size and scope. To be compliant with local legislation as well as provide greater transparency to candidates, we disclose salary ranges on all job postings regardless of the desired job location. We also offer a competitive annual discretionary bonus program and the opportunity for annual long-term incentive stock grants. In addition, we offer a highly competitive benefits package. Final offer amounts are determined by multiple factors, including candidate experience and qualifications, and may vary from the amounts listed above.
