Insurance Claims Adjuster (Insurance & Claims)


Job Title: Insurance Claims Adjuster (Insurance & Claims)

Department: Insurance & Claims

Location:
Office Name: Seaboard Marine - PortMiami
Address: 1630 Port Boulevard
City: Miami-FL
Postal Code: 33132
Country: US

Description:

POSITION SUMMARY:

In this function, an individual performs within operational procedures that have been developed and has the authority and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and local authorities.  Assignments are generally broad in scope with frequent opportunity for exercising independent judgment in making claims management decisions subject to final review and approval by the department director. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

GEOGRAPHIC REGION:

Please note applicants out of the geographic region for position applied will not be considered.

 

QUALIFICATIONS:

Required

  • Minimum one (1) year experience as a claim’s adjuster working with handling cargo, property, casualty, contents or auto claims.
  • Knowledge of insurance and claims legal vocabulary in order to understand the nature of cargo claims.
  • Knowledge of techniques of investigation, adjustment, negotiation and settlement.
  • Must have intermediate computer skills in programs such as MS Word, Excel & Outlook, etc.
  • Must have advanced communication skills (reading, writing & speaking) both in English and Spanish in order to communicate at different levels throughout the organization, exterior organizations, out port offices, attorneys, etc.
  • Possess strong analytical skills.
  • Possess organizational and time management skills with ability to prioritize and be detail oriented.
  • Ability to conduct effective negotiations with claimants, attorneys and insurance carriers.
  • Ability to express ideas clearly and concisely, verbally and in writing.
  • Ability to analyze define problems, collect data, establish facts, and exercise sound judgment in drawing valid conclusions.
  • Ability to prepare a variety of reports and meet consistent deadlines.
  • Ability to work independently with limited supervision, multitask and possess strong initiative.
  • Ability to establish and maintain effective working relationships with customers, vendors and fellow employees.
  • Ability to think logically, establish and follow procedures, instructions and make sound decisions.
  • Ability to exercise independent judgment within established systems and procedures.
  • Ability to work a flexible schedule, extended hours, holidays, and/or weekends as needed.
  • Possess high energy level, comfortable performing multifaceted projects in conjunction with normal activities.
  • Must have or be able to obtain a TWIC card within 30 days of employment.

Preferred

  • Experience handling marine cargo claims
  • Knowledge of Carriage of Goods by Sea Act (COGSA).
  • Bachelor’s degree in Business Administration or related field.

 

DUTIES AND RESPONSIBILITIES:

Primary

  • Plan, organizes and reviews the investigation, negotiation and preparation of settlement recommendations of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provides intra-company personnel with technical advice and assistance.
  • Manages highly complex investigation of claims, including coverage issues liability, compensability and damages
  • Manages all types investigative activity or litigation or litigation on major claims, including the posting of appropriate reserves in a timely manner
  • Monitoring claims to ensure file handling is compliant with established standards.
  • Analyzes claims activities; prepare and present reports to management and other internal business partners and clients.
  • Miscellaneous tasks to include assignment of survey inspections and provide support in a collaborative effort as needed to department manager as well as co-workers.
  • Attend seminars and workshops to ascertain new development and/or further skills relating to required duties.
  • Provides guidance and assistance to less experienced claims staff and other functional areas.
  • Performs other job-related duties as assigned.

 

PHYSICAL REQUIREMENTS:

  • While performing the duties of this job, the employee is regularly required to sit and use his/her fingers.
  • The employee frequently is required to talk and/or hear.
  • The employee is continuously required to sit.
  • The employee is occasionally required to stand and walk.
  • The employee must occasionally lift and/or move up to 10 pounds.
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

 

SAFETY REQUIREMENTS:

  • Report safety hazards.
  • Immediately report incidents involving injury, illness, or property damage.
  • Wear appropriate PPE as instructed by immediate supervisor.
  • Comply with all company safety policies, procedures, and rules.
  • Refuse any unsafe task or operation.
  • Participate in safety meetings and training.
  • Be constantly aware of their personal safety and that of their coworkers.

SUPERVISION RECEIVED AND EXERCISED:

Receives direct supervision from the Insurance and Claims Manager and the Insurance and Claims Director.  Does not exercise supervision over any position.

CONDITIONS:

  • Indoors office, controlled temperature environment.
  • The noise level in the work environment is usually quiet.

 

DISCLAIMER:

  • The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.
  • The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.