Litigation Bodily Injury Claims Adjuster (Coral Gables)

About the Company - Ascendant Claims Services LLC (an affiliate of Ascendant Commercial Insurance Inc.) is a third-party claims administrator committed to providing best-in-class claims adjudication solutions. According to the South Florida Business Journal, Ascendant is one of the top 100 largest Hispanic-owned businesses in South Florida. Excellence and professionalism in serving the needs of our agents and insureds is Ascendants core operating philosophy.

Ascendant is looking for experienced Litigation Bodily Injury Claims Adjusters ! We offer stability, excellent benefits, competitive compensation packages, and a flexible schedule. We have a strong emphasis on core values, integrity, employee relations, and customer service. Learn how you can become a dynamic part of Ascendants Liability Claims team!

About the Role - The primary job responsibilities for this position include, but are not limited to, effectively managing an inventory of first-party physical damage and third-party liability claims by statutory regulations and Claims Best Practices standards. The Litigation Claims Adjuster will review and analyze litigated claim files to determine potential exposures, identify cases that should be recommended for settlement, and develop strategic plans that are efficient, cost-effective, and completed promptly.

Key Responsibilities :

• Manage a caseload of litigated claims from inception through resolution, including arbitration, mediation, and trial preparation.
• Analyze medical records, accident reports, and legal filings to establish liability and evaluate damages.
• Collaborate with defense counsel on litigation strategy and case management.
• Ensure strict compliance with established litigation guidelines for both in-house and outside defense firms, including, but not limited to, securing initial and subsequent case evaluations, as well as ensuring budgets are maintained up to trial.
• Responsible for cost analysis review of files, comparing potential defense costs vs case settlement value
• Approve or reject use of applicable vendors up to an established authority amount.
• Attend and participate in mediations, depositions, settlement conferences, and trials as needed.
• Ensure compliance with state-applicable insurance laws and company procedures.
• Maintain accurate and timely documentation in claims systems to ensure efficient processing.
• Communicate effectively with attorneys, claimants, insureds, and internal departments to ensure seamless collaboration and efficient resolution of claims.
• Recommend reserves and settlement authority based on thorough analysis and policy terms.
• Review information compiled via discovery to establish defensibility of claim.
• Determine potential additional exposures and maintain the insured advised of the same.
• Provide excellent customer service to all parties.
• Responsible for following up with applicable parties to discuss liability and settlement negotiation in exchange for a release.
• Responsible for submitting the reservation of rights and denial letter language as merited
• Responsible for managing an average case load of 135-150 claim files in a timely, effective, and organized manner.
• Responsible for special projects in the direction of management as needed.

Qualifications :

• Minimum 4+ years of experience handling liability claims in the state of Florida, with a minimum of 2 years handling litigated cases.
• Must have an active Florida all-lines adjuster license.
• Complete understanding of liability claims investigations and claims processing.
• Knowledge of the mechanics of bodily injury, medical terminology, and settlement negotiations.
• Must be capable of working independently with minimal supervision
• Proficiency with computer operations, web-based applications, and Microsoft Office.
• Possess technical problem-solving skills.
• Strong negotiation skills and able to apply updated comparative negligence laws.
• Strong organizational skills.
• Strong oral and written communication skills.
• Must be able to work within a team environment, collaborate with other adjusters as needed to resolve exposures in the organization.