Bodily Injury Large Loss Adjuster in Houston, TX at National General Insurance

Job Description

Primary Purpose:

Responsible for investigating, evaluating and resolving complex injury claims in multiple jurisdictions.  Focus will be on the accurate evaluation and timely settlement of both non litigated and litigated exposures. Must provide high levels of internal and external customer service while also taking into consideration the best interest of National General Insurance Company and its subsidiary companies.  

Essential Duties and Responsibilities:

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Handle claim files and thoroughly document all activities using the claims system; maintain appropriate diaries and status notes using the claim system

• Prepare Large Loss Reports (LLR) and elevate the claim exposures above adjuster authority, including appropriate reserve modification and settlement recommendations

• Provide timely and concise verbal and written reporting to leadership as to claim exposures via LLR, LLC, and conference calls

• Manage the company’s indemnification and ALAE exposure by recognizing trends and proactively managing defense counsel including selection of appropriate experts at the appropriate time in the life of the claim file

• Manage and partner with Panel Counsel and House Counsel to provide an appropriate defense in accordance with the Claims Handling Guidelines and Litigation Management Guidelines; assist with keeping counsel accountable to company guidelines and appropriate defense of all insureds

• Handle assigned claims and other judgement matters according to company guidelines, good faith file handling requirements, and state legal and regulatory requirements in multiple jurisdictions

• Complete all aspects of claim handling including complex coverage analysis, timely completion of liability investigations and accurate damages evaluations

• Establish strategic negotiating positions when settling claims and/or lawsuits with claimants or attorneys

• Set an example of claims handling excellence for the broader claims organization through accurate, timely, proactive, well-documented, creative defense and resolution of Large Loss Claims as defined in the Claims Handling Guidelines

• Seek to become a subject matter expert in assigned venues through knowledge of state statutes, case law, defense and plaintiff’s counsels, etc.

Minimum Skills and Competencies:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience

• 10+ years injury claims handling experience

• 5+ years handling high exposure, commercial or litigated claims

• Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)

• Obtain and maintain adjuster license in required jurisdictions

• Strong interpersonal skills and the ability to work effectively with a wide range of constituencies in a diverse area

• Knowledge of claim systems and process payments

• Must possess effective verbal and written communication skills

• Must be able and willing to travel 20+ % of the time

• Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines

• High degree of initiative, mature judgment and discretion

• Proven skills with high exposure claims valued in excess of $100,000

Desired Skills:

• 5+ years of experience handling one or more of the following areas: extra-contractual matters, litigation management

• Obtain and maintain appropriate licensing, educational and/or examination requirements (Adjuster License, MBA)

• Successful completion of one or more professional designations: CPCU, AIC

• Bilingual/ Multilingual

• Strong preference for California and/or Texas experience

National General prides itself on offering our employees a robust Total Rewards package which includes base salary. The base range offered for the role is: $68,500 - $100,000 and may vary based on internal equity, and job-related skills, knowledge and experience; among other factors. Other financial components may be added as part of the competitive compensation package, in addition to a full range of benefits, dependent on the level and position offered.

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.