Senior Claim Adjuster

Livonia, Michigan
Salary commensurate with experience. Excellent benefits and generous PTO bank.
Mar 02, 2018
May 01, 2018
Job Type
Full Time


Investigates and evaluates liability losses while developing a plan of action to bring claims to proper resolution in a timely manner.    Experience level preferably between 5-7 years. 


  • Determines extent of insurance coverage and compensability on each filed claim
  • Investigates claims, including interviewing employees, employers and witnesses
  • Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc.
  • EDI and CMS/Section 111 reporting
  • Utilizes appropriate preferred vendors
  • Presents thorough and accurate reports to clients and excess carriers on claims investigations/situations
  • Negotiates settlements for resolutions with claimants and their attorneys
  • Maintains control of litigation activities and costs per account requirements
  • May be asked to mentor, train and/or share expertise with other ASC staff
  • May be asked to serve as back up to claims staff when they are not available.
  • Attends meetings; conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas
  • Maintains and meets state specific licensing requirements
  • Responds to client questions and comments in a courteous and timely manner
  • Is responsible for catastrophic losses, complex litigation, and other sensitive issues
  • All other duties as assigned


  • Ability to understand and follow oral and/or written policies, procedures and instructions
  • Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
  • Ability to conduct investigations in multi-party situations
  • Ability to use standard or customized software applications appropriate to assigned tasks
  • Ability to prepare and present accurate, reliable and factual reports with recommendations 
  • Thorough knowledge of current principles and practices associated with claims investigations, adjustment and related practicesExtensive knowledge of medical and legal terminology with a thorough understanding of legal principles/litigation management
  • Ability to handle confidential information
  • Ability to communicate effectively with others both orally and in writing
  • Ability and willingness to learn quickly and utilize new skills as a result of rapidly hanging information and/or technology
  • Ability to comprehend multi-state laws and regulations to assist other offices, as necessary 

Required Experience:

Should have 5-7 years experience in handling liability claims.  A college degree or equivalent business experience needed.