Claims Adjuster

Aquent is proud to partner with a leading organization in the financial services sector, dedicated to providing comprehensive and reliable solutions to its clients. This company is committed to excellence, integrity, and fostering a supportive environment where talent can thrive and make a real impact.

Are you a seasoned claims professional ready to tackle the most intricate and high-stakes cases? Imagine yourself as a pivotal force, navigating complex legal landscapes and delivering exceptional resolutions that secure peace of mind for clients. This isn't just a job; it's an opportunity to leverage your expertise, shape outcomes, and mentor others, directly contributing to the company's reputation for outstanding service and ethical practice. Join a team where your analytical prowess and strategic thinking will be celebrated, and your contributions will have a profound and lasting effect on the business and its valued customers.

As a key member of the claims team, you will be entrusted with the investigation, analysis, and resolution of advanced and highly complex claims. Your work will involve deep dives into policy details, strategic collaboration with legal counsel, and ensuring compliance, all while upholding the highest standards of customer care. You'll not only manage critical cases but also serve as a mentor, guiding less experienced colleagues and helping to elevate the team's overall performance.

**What You'll Do:**

* Manage and resolve claims of advanced to highest severity and complexity with minimal supervision, conducting in-depth investigations, identifying risks, liabilities, and coverage issues, and negotiating settlements.

* Independently review policies, agreements, contracts, and legal documents to confirm coverage and obligations.

* Assess claim exposures and develop effective strategies for claim resolution, collaborating with internal departments as needed.

* Ensure compliance with claims processes, procedures, and best practices, providing guidance to internal stakeholders and clients.

* Maintain thorough documentation of claim activities, decisions, and communications, adhering to record-keeping standards and confidentiality protocols.

* Communicate and strategically collaborate with outside counsel to proactively manage and strategize effective litigation, ensuring alignment with organizational goals.

* Independently prepare reports for management to accurately reflect loss development, potential/actual financial exposure, coverage issues, projected/actual recoveries, and propose claim, recovery, and resolution strategies.

* Identify all recovery opportunities and coordinate recovery efforts with specialized units and claims management.

* Ensure stakeholders and customers feel secure, respected, and cared for throughout the claims process.

* Acquire and maintain required professional licenses within three months of starting the role, and obtain ongoing continuing education credits as mandated.

* Offer guidance, mentorship, and training to less experienced claims representatives to enhance their skills and performance.

This role offers significant opportunities for leadership through mentorship and strategic guidance to junior team members. You will be at the forefront of complex claim resolution, fostering innovative approaches to problem-solving and collaborating extensively with internal and external legal experts. Your ability to manage high-stakes situations and contribute to the company's financial health and client satisfaction directly impacts our success and reputation.

**Must-Have Qualifications:**

* Associate's degree.

* Six years of previous claim handling work experience.

**Nice-to-Have Qualifications:**

* Bachelor's degree.

* Eight years of claim handling experience.

* Expert knowledge of legal terminology and skilled in legal research to effectively lead the claim process.

* Advanced grammar and writing skills, with the ability to develop comprehensive, clear, and concise claim documentation.

* Proficiency in using industry-standard legal research software, Microsoft Office, and PDF software.

**About Aquent Talent:**

Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands.

Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. More information on our awesome benefits!

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.