Job Description

Claims Adjuster II

Fully Remote • MO - Columbia, MO 65202

Overview

Category Insurance

Description

The typical starting salary for this position is determined by a number of factors, including, but not limited to, acquired skills, experience, education, and certifications/designations. This position may be eligible for annual merit increases and participation in our bonus program.

What are we looking for?

Join our team as a Claims Associate II. In this position, you will be responsible for handling moderately complex commercial claims including property, auto, general liability, or workers' compensation that may involve legal representation.

Who we are and what we do?

At Columbia Insurance, we believe our people are the heart of our success and our greatest strength. With robust benefits, a fun, family like atmosphere, and a culture that thrives on real connections, Columbia truly is the place to be. Our vision is to lead the industry in people first partnerships. The best way to achieve that is by bringing together a team of skilled, passionate, and talented individuals.

Why us?

• Medical, Dental, and Vision coverage
• 401(k) and company match
• Generous paid time off (PTO), paid company holidays, paid maternity/paternity leave, and supplemental sick leave
• Family like culture
• Year round wellness initiatives
• Company sponsored events
• Opportunities for professional development with conferences, events, and continued education

Company History

Our legacy has roots back to 1889 when we first became part of the mutual insurance movement in the Midwest. Today, our extensive heritage resonates nationwide, as we proudly serve customers in 14 states across the country.

Basic Function and Responsibility

The Claims Adjuster II handles moderately complex commercial claims including property, auto, general liability, or workers' compensation that may involve legal representation. This role involves independent investigation, coverage interpretation, liability analysis, and damage evaluation in various state jurisdictions. You will work closely with internal and external partners to resolve claims promptly, fairly, and within authority limits, using modern claims technologies and best practices.

Essential Functions

• Handle a diverse caseload of minor to moderate commercial claims (property, liability, auto, or workers' comp) through final resolution.
• Promptly review new losses and determine initial plan of action.
• Conduct in-depth coverage analysis involving manuscript policies, endorsements, and exclusions.
• With guidance, prepare Reservation of Rights and Declination of Coverage letters, as applicable.
• Investigate and determine liability by collecting statements, evidence, coordinating expert inspections, and reviewing contracts and statutes.
• Demonstrated ability to evaluate comparative and contributory negligence, contractual liability, and damages.
• Establish and adjust reserves as warranted to ensure accurate reserving commensurate with claim exposure.
• Review all expense bills for appropriateness, accuracy and adherence to Company billing practices.
• Perform detailed damage evaluations, including moderate property damage or bodily injury claims.
• Negotiate settlements within authority.
• Verify accuracy of any payments within individual authority and secure approval when appropriate.
• Recognize, notify, and pursue other culpable parties and seek contribution as warranted.
• Work closely with defense counsel when appropriate in pre-suit matters.
• Provide detailed file documentation/notes consistent with departmental guidelines.
• Maintain full compliance with jurisdictional requirements and documentation standards in multi-state environments.
• Other duties as assigned.

Qualifications

Required Qualifications

• 3-5 years of experience handling commercial claims.
• Strong technical understanding of commercial policies and coverage analysis, with experience handling some minor to moderate coverage matters.
• Proficient in policy interpretation, exposure analysis, and jurisdictional claims practices across multiple states.
• Excellent negotiation, analytical, and customer service skills.
• Ability to communicate clearly and professionally.
• Proven ability to manage challenging conversations with policyholders.
• Strong organizational and time-management skills.
• Technical knowledge of commercial insurance laws, regulations, and best practices.
• Proven ability to manage competing priorities in a fast-paced environment.
• Strong written and verbal communication skills, with the ability to present information clearly and persuasively.
• Has sound critical thinking, and problem-solving capabilities.
• Outstanding customer service, attention to detail, and multi-tasking skills.
• Strong computer skills, including a strong knowledge of Microsoft applications (Outlook, Word, Excel)
• Strong working knowledge of claims technology platforms.
• Must have a valid adjuster license in designated home state (or willing to obtain one within 60 days after hire) with the ability to obtain additional non-residential adjuster licenses.
• Ability to exercise independent judgment with limited to moderate supervision in handling claims within reserve and settlement authority.
• Ability to travel, as necessary.

Education Qualifications

• Bachelor's Degree or equivalent experience

Preferred Qualifications

• Has secured or is currently working toward professional designations such as CPCU, AIC, SCLA, or similar.

EOE

Columbia Insurance prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Job Tags

Similar Jobs