Job Description

Liability Claims Adjuster

Exempt, Full Time

Claims

Worksite: 6 West Colony Place, Durham, NC Reports To: Director, Claims

Occupational Summary:

Responsible for the management of commercial general and professional liability claims from first notice of loss through final resolution. This position conducts thorough investigations, evaluates coverage and liability exposure, establishes and maintains reserves, and ensures fair, timely, and compliant claim outcomes in accordance with program standards, regulatory requirements, and industry best practices.

Duties/Responsibilities:

1. Ensure that claims processing procedures and time frames are consistent with contracts, with a quarterly report on any specific shortfalls.
2. Document all claim activity, communications, and decisions in accordance with program standards.
3. Review policy coverage, endorsements, and eligibility specific to dive professionals and operators.
4. Serve as point of contact for insureds providing clear and timely communication regarding claim processes, requirements, status updates, and outcomes.
5. Establish, maintain, and manage complete electronic claim files from first notice of loss through closure.
6. Support leadership with claims reporting, loss trend analysis, reserve reviews, litigation oversight support, and participation in special projects to improve program performance.
7. Prepare and submit required reports, including status reports, loss reports, and management updates.
8. Ensure timely assignment and coordination of external services such as independent adjusters, investigators, defense counsel, medical reviewers, or expert consultants, and monitor performance.
9. Ensure compliance with regulatory requirements, claims handling standards, carrier or program guidelines, and best practices.
10. Other duties as assigned.

Education:

• Bachelor's degree or higher
• 5+ years of relevant claims experience
• Claims adjuster license or the ability to obtain required

Required Knowledge, Skills & Abilities:

• Knowledge of the scuba diving industry
• Excellent interpersonal communication, organization, and management skills
• Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
• Ability to manage timelines and milestones to ensure timely reporting and closures
• Self-motivated with strong attention to details and problem-solving skills
• Familiarity with captive insurance companies, risk retention groups, accident and health and trip/travel programs
• Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms

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