Sr Claims Adjuster - Casualty

Job Title: Sr Claims Adjuster - Casualty

FLSA Status: Exempt

Job Family: Claims

Department: Casualty Claims

Location: Corporate Office (Fort Wayne, IN)

JOB SUMMARYResponsible for effectively analyzing and resolving assigned serious/complex claims consistent withclaims department standards and company objectives.

POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential• functions.

• Resolve primarily serious/complex, (including but not limited to claims involving unusual damageor coverage issues or need to involve expert analysis or that require early recognition ofpolicyholder concerns), claims within established settlement authority in a prompt, fair andequitable manner. Identify and investigate coverage, damage, and reserve adequacy on assignedclaims.
• Apply statutes, common law, and other applicable legal and regulatory concepts for the effective,efficient and equitable resolution of assigned claims.
• Achieves established claim file audit objectives.
• Communicate with policyholders, agents, claimants, attorneys, medical providers and otherpersons as needed and direct independent adjusters, appraisers and other support serviceproviders to ensure effective, efficient, and equitable claims resolution.
• Acquire, record and maintain all essential file documentation in accordance with establishedguidelines.
• Provide timely status reports regarding assigned claims to department management and others.
• Identify and pursue appropriate cost containment, loss mitigation and subrogation recoveryopportunities.
• Participate and provide input in departmental meetings or interdepartmental meetings, projects orprocesses that relate to the claims function.
• Travel as needed to attend training programs, conferences, mediations/other legal proceedings,and to conduct investigation relating to claims resolution.
• Further the attainment of overall department objectives by assisting other claims personnel asneeded.
• Participate as needed in the orientation or training of new department personnel.
• Assist in the setting of initial reserves as needed.
• Complete other projects as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES• The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform• each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with• disabilities to perform the essential functions.

• Must be able to effectively communicate with others (both oral and written). Must be able tocommunicate complex coverage and legal concepts in both an oral and written format.
• Must be able to make independent decisions.
• Must have strong organizational and interpersonal skills.
• Must have the ability to handle confrontational situations in a productive manner. Must possessstrong negotiation skills and utilize them in the resolution of serious/complex claims.
• Must have a thorough understanding of all issues related to claims. Must have a thoroughunderstanding of coverage.
• Must be able to access, input and retrieve information from a computer. Must have a thoroughunderstanding of all automated claims department processing systems and workflows.
• Must be able to train others on claims department policies, procedures and systems.
• Should be able to sit for prolonged periods of time. Should have the ability to inspect losses bywalking, lifting, climbing or bending.
• Effectively interface with external contacts, Brotherhood employees, managers, and departmentstaff members.

EDUCATION AND/OR EXPERIENCEList Degree Requirement, Years' Experience, and Certifications

• Bachelor’s degree required.
• Must be able to take and pass mandatory adjuster licensing requirements.
• Must have five or more years of claim technical experience.
• CPCU designation strongly desired.
• Seven years or more of Brotherhood Mutual claims technical experience is desired.

Terms and Conditions

This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

Because the company’s niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche.

Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. Theemployment relationship remains “at-will”.