Commercial Casualty Claims Adjuster - Universal Shield Insurance Group
Dublin, OH 43016
About the Job
Guided by an entrepreneurial spirit, Universal Shield Insurance Group is a hybrid property and casualty insurer and insurtech that provides innovative insurance solutions to underserved markets for small businesses on both an admitted and surplus lines basis. Via online state-of-the-art agency portals and direct to consumer retail and B2B websites, we design our products intuitively and device agnostic to accelerate competitive underwriting decisions for our partners and customers.
This position is an excellent opportunity to get in on the ground-floor with an expanding and growing established insurance company led by experienced insurance professionals with a proven track record of success. Our insurance group is seeking an experienced Commercial Casualty Claims Adjuster to join our team. This is a hybrid position and will be located at our Dublin, Ohio Corporate office location.
Essential Functions and Duties:
- Investigates, evaluates, and adjusts assigned claims in accordance with all Company policies and procedures, and all applicable laws and regulations.
- Verifies coverage, investigates losses by gathering all pertinent information, issues coverage determinations, evaluates claims, and, where coverage and/or liability exists, sets reserves.
- Accepts claims or negotiates settlements, adhering to assigned authority limits for reserving and payments.
- Exercises independent decision-making with minimal to moderate supervision and direction on assigned claims, using knowledge of applicable codes, laws, standards, and regulations.
- For litigated claims, assigns defense counsel and ensures cases are handled effectively and efficiently until final resolution through settlement or judgment.
- Investigates and identifies all sources of recovery and subrogation for assigned claims.
- When necessary and appropriate, attends mediations, arbitrations, or trials on assigned claims.
- Works with SIU to protect the Company from false or inflated claims.
Responsibilities for accurate and complete claim files:
- Ensures information in claim files is accurate, current, and complete.
- Maintains active diaries for assigned claims files, with the current plan of action.
Responsibilities for providing a high level of customer service:
- Responds to insureds and third parties in a prompt, courteous, and professional manner.
- Relays status of claims to insureds in a timely manner.
- Researches and resolves problems, questions, or concerns or refers to them appropriately.
Responsibilities for related duties as required or assigned:
- Attends meetings and training, as necessary.
- Keeps management and underwriting department apprised of developments and emerging trends.
- Handles special projects as assigned.
Performance Measurements:
- Claims are processed according to Company policy, laws, and regulations. Accurate and fair judgments are made.
- Investigations and claims are handled in a prompt, courteous, and professional manner.
- Claim files are current and complete.
- Accurate information is communicated to insureds in a timely manner.
- Management is appropriately informed of activities and significant problems.
Qualifications and Requirements:
- Minimum Associate Degree in a related are is preferred.
- Required insurance certifications.
- Minimum of 3 - 5 years of related professional experience handling property and casualty claims.
Skills and Abilities:
- Strong interpersonal and public relations skills.
- Effective communication skills.
- Solid analytical skills.
- Ability to identify and understand coverage issues with good knowledge of exclusions and endorsements.
- Good organizational, problem-solving, and prioritization skills.
- Ability to use related office and computer equipment and administrative claims systems with training.
Universal Shield Insurance Group offers an industry competitive benefits package including health insurance with a company contributed HSA, dental insurance, vision coverage, short term disability insurance, long term disability insurance, AD&D insurance, Employee Assistance Program (EAP), and other lifestyle and family friendly and work/life balance benefits. We also offer a company matched 401K, unlimited PTO for exempt employees, and other ancillary workforce benefits. Applicants selected for interviews will receive more information on our full company benefit program.
Universal Shield Insurance Group (and its member companies - Universal Fire & Casualty Insurance Company and Shield Indemnity Inc) is an equal opportunity employer. Discrimination of any kind, including race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy or on any basis prohibited by federal, state or local law is not tolerated at Universal Shield Insurance Group.
About Universal Shield Insurance Group:
Guided by an entrepreneurial spirit, Universal Fire & Casualty Insurance Company (UFCIC) is a hybrid property and casualty insurer and insurtech that provides innovative insurance solutions to underserved markets for small businesses. Via online state-of-the-art agency portals and direct to consumer retail (B2C) and business to business (B2B) websites, we design our products intuitively and device agnostic to accelerate competitive underwriting decisions for our partners and customers.UFCIC targets property and casualty insurance for small businesses that are managed in such a way that they deserve to qualify for, and enjoy, the additional advantages in security and coverage offered by an admitted product. While the surplus market, as a last resort channel, can provide a reduced coverage form at a higher price, UFCIC turns this dynamic upside down. Via a higher standard of acceptance, expert underwriting rules, advanced analytics, machine learning, and external data sources to supplement standard risk information, the majority of UFCIC’s target business can “graduate” from the surplus lines and be provided with a superior coverage form in the admitted marketplace. For those risks that necessitate the surplus market, our company uses our E&S carrier, Shield Indemnity, for risk placement.UFCIC also serves the specialty surety bond marketplace by providing a variety of proprietary, cutting-edge, and competitively priced surety products available through efficient direct and agent based technology enabled portals. Via UFCBonds.com (B2C), customers can buy License and Permit bonds direct, as well as other types of surety bonds, with zero commissions and fees – savings are up to 25% compared to online agency based surety bond platforms. For business to business (B2B), our BondRamp.com platform serves our distributors for surety bond placement. Additionally, UFCBonds.com and BondRamp.com issue most bonds instantly and are available 24x7x365 and accessible by computer, tablet, or mobile device.UFCIC is part of the Universal Shield Insurance Group (www.universalshield.com). Universal Shield is composed of Universal Fire & Casualty Insurance Company (www.ufcic.com) - an admitted carrier - and Shield Indemnity Inc. (shieldindemnity.com) - an excess and surplus carrier.
