This position can be remote; however, if you reside near our offices in Menomonee Falls, WI, or New York City, NY, we request that you work onsite from Monday through Thursday, with the option to work remotely on Fridays.

About the Role

In this role, you will compile facts and investigate customer injury claims to evaluate and negotiate resolution of complex non-litigated liability claims (moderate to highly severe injuries) to protect the interests of the company.

What You’ll Do

Correspond with claimants, witnesses, internal partners to document event statements

Investigate and verify customer injury statements and facts, compiles evidence, video and claim data to document according to written procedures

Conduct recorded statements from claimant and as needed, witnesses

Evaluate liability based on verifiable and disputed evidence to create action plan

Evaluate liability to set financial reserves

Follow written procedures to reports claims that meet specific criteria to excess insurers and/or escalate claims internally

Participate in continuous improvement of risk management operations

Deny, settle or authorize payment directly with claimants and/or claimant attorneys to resolve complex non-litigated moderate to highly severe injuries

Additional task may be assigned as necessary

What Skills You Have

Required

Minimum 2-4 Years related claims experience and experience adjusting general liability claims

Working knowledge of general liability insurance

Proficient experience in investigations, resolution of injury complaints including negotiation and settlement

Must have good presentation, written and oral communication skills

Must be able to multitask, be well organized and detail oriented with a strong sense of urgency

Proficient working with database and processing software, Excel, Word and similar systems

Must have strong analytical, problem solving, critical thinking and negotiating skills

Preferred

Bachelor's degree or equivalent experience

3+ years of multi-state or national experience for an Insurance carrier and/or self-insured company

Knowledge of medical terminology and procedures

Professional designation in claims and/or insurance

Experience using RisKonnect or other RMIS

Retail experience