3rd Party Claims Adjuster/Examiner - HYBRID
1 day ago
Great Neck
Job Description Job Title • Full-time, • Non-exempt (Hourly) or Exempt (Salaried), • Monday – Friday, • 9:00 am – 6:00 pm, • Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies, • Gather and review all relevant documentation including statements, police reports, medical reports, and legal documents, • Handle claims in-house and oversee claims managed by TPA (Third-Party Administrator), • Conduct interviews with claimants, witnesses, and other involved parties, • Determine coverage, injury evaluation, liability, and the appropriate settlement amount, ensuring claims are processed in accordance with policy terms and regulatory guidelines, • Communicate with claimants, attorneys, and other third parties to resolve claims promptly and fairly, • Prepare detailed reports outlining claim statuses, investigation results, and settlement recommendations, • Negotiate settlements in line with company policies and best practices, • Maintain accurate and detailed claim records in the claims management system, • Stay updated on state laws, industry trends, and changes in insurance regulations, • Collaborate with legal teams and other departments when necessary, • Attend mediations or trials as neededQualifications:, • Minimum 3 years of experience as a 3rd Party Claims Adjuster, with experience handling bodily injury and property damage claims, • Strong knowledge of insurance policies, coverage, and third-party liability claims processes, • Excellent negotiation, investigation, and problem-solving skills, • Strong communication skills, both verbal and written, with the ability to explain complex claims clearly, • Ability to manage a high volume of claims and prioritize tasks effectively, • Proficiency MS Office/Google Workspace applications, • Familiarity with state-specific insurance regulations and legal processes, • Experience in handling complex or high-value claims, • Bachelor’s degree in a related field or equivalent work experience preferred, • Experience working with attorneys, mediators, or in a litigation environment, • Medical (PPO), dental (PPO), vision (PPO), and life insurance covered 100% by the company and 50% for dependents, • Paid time off and sick leave, • 13 annual paid holidays, • 401(k) plan with up to 4% company match, • Flexible Spending Account (FSA) & Dependent Care FSA, • Quarterly Fringe Benefit reimbursements, • Job-related training reimbursement At DB Insurance USA, we carry forward a legacy of excellence that began in South Korea in 1962 and expanded to the U.S. in 1984. Backed by the financial strength of a global powerhouse (AM Best Rating: A+, S&P Rating: A+), we combine world-class resources with the agility of a close-knit team. With offices in California, Hawaii, New York, and Guam, we provide innovative insurance solutions tailored to protect your property, business, and livelihood. We are committed to fostering a culture of inclusion and innovation, ensuring exceptional service and peace of mind for every policyholder. Powered by JazzHR ZrSS0svOJg