Claims Adjuster - Commercial Auto Excess Casualty

Habilidades

Descripción

<div> <p><b><strong>About <a href="https://himalayas.app/companies/reserv">Reserv</a></strong></b></p> <p><a href="https://himalayas.app/companies/reserv">Reserv</a> is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, <a href="https://himalayas.app/companies/reserv">Reserv</a> is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.</p> </div><div> <p><b><strong>About the role</strong></b></p> <p>Commercial Auto Excess Casualty Specialist plays a critical role in managing high-severity commercial auto liability claims that may exceed primary policy limits. At <a href="https://himalayas.app/companies/reserv">Reserv</a>, this specialist leverages cutting-edge automation, structured data, and modern claims systems to drive optimal outcomes while focusing on the most complex, high-impact aspects of claim handling. The role requires deep technical expertise, strong analytical skills, and the ability to collaborate within a fast-moving, technology-driven environment.</p> <p><b><strong>KEY RESPONSIBILITIES</strong></b></p> <ul> <li>Investigate, evaluate, and resolve complex commercial auto liability claims involving excess layers of coverage, catastrophic injuries, multi-vehicle accidents, and high-exposure scenarios.</li> <li>Conduct advanced coverage analysis, including policy interpretation, endorsements, exclusions, and multi-jurisdictional considerations.</li> <li>Issue coverage position letters, including reservations of rights and denials, in alignment with regulatory and internal standards.</li> <li>Oversee litigation, partnering with defense counsel to evaluate strategy, monitor case progression, and ensure cost-effective, data-driven decision-making.</li> <li>Leverage <a href="https://himalayas.app/companies/reserv">Reserv</a>'s AI-powered tools to review claim summaries, severity predictions, and structured data insights to enhance accuracy and efficiency.</li> <li>Evaluate primary carrier handling and determine when excess involvement is triggered, ensuring timely and appropriate intervention.</li> <li>Collaborate with MGAs, carriers, brokers, and internal teams, providing clear communication and maintaining <a href="https://himalayas.app/companies/reserv">Reserv</a>'s high-touch, white-glove service standards.</li> <li>Document all claim activity within <a href="https://himalayas.app/companies/reserv">Reserv</a>'s modern claims platform, ensuring data accuracy and compliance with internal and external requirements.</li> <li>Participate in audits, trend analysis, and feedback loops to support continuous improvement and inform underwriting insights.</li> </ul> <p><b><strong>REQUIRED QUALIFICATIONS</strong></b></p> <ul> <li>Bachelor's degree or equivalent experience.</li> <li>10+ years of commercial auto liability or casualty claims experience, preferably with excess or high-severity files.</li> <li>Strong knowledge of coverage analysis, litigation management, and complex liability evaluation.</li> <li>Excellent communication skills, with the ability to translate complex issues into clear, actionable insights.</li> <li>Comfort working in a technology-driven environment with modern systems and data-rich workflows.</li> <li>Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license. Willing to obtain any additional required licenses within 60 days, including state testing.</li> </ul> <p><b><strong>PREFERRED SKILLS &amp; CERTIFICATIONS</strong></b></p> <ul> <li>AIC, CPCU, SCLA, or similar designations. JD is also a huge plus. </li> <li>Experience with MGAs, TPAs, or non-admitted/excess &amp; surplus lines.</li> <li>Familiarity with AI-enhanced claims tools or modern claims platforms (a strong plus at <a href="https://himalayas.app/companies/reserv">Reserv</a>).</li> <li>JD from an accredited law school and an active license in good standing in at least one U.S. state</li> </ul> <p><b><strong>Benefits</strong></b></p> <ul> <li>Generous health-insurance package with nationwide coverage, vision, &amp; dental</li> <li>401(k) retirement plan with employer matching</li> <li>Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!</li> <li>Generous family leave policy after 8 months of continuous work</li> <li>Work from anywhere to facilitate your work life balance</li> <li>Apple laptop, large second monitor, and other quality-of-life e