# CLAIMS ADJUSTER/REP

- **Location:** WORK FROM HOME
- **Employment type:** 0
- **Posted:** 2026-07-21T14:49:44+00:00
- **Apply:** https://tcgrecruit.com/job/claims-adjuster-rep/

## Description

# Job Description


**Do you live near State College Pennsylvania or would you like to relocate to the area? Than this position may be right for you.
**
**Senior Claims Representative- Multi-Line**


The Carlisle Group has been Retained to conduct a search for a **Senior Claims Representative** (Multi Line). Our client is an A rated Mutual Insurance company and they are looking for a Senior Claims Rep to investigate, evaluate, and settle multi-line claims within established authority level, including those of complexity and high exposure.


**Essential Functions:**





- Determines coverage and investigates claims:



- Makes personal, written, or telephone contact with general public, reporting agencies, and suppliers of services/goods.

- Reviews and interprets policies to determine coverage.

- Reviews records and documentation.

- Takes telephone-recorded statements from insureds, claimants, and witnesses involved.

- Determines liability.

- Determines amount of loss/damage.

- Makes assignments to appraisers or independent adjusters as needed.

- Orders police reports.

- Indexes injured insured and claimants; follows Medicare reporting requirements and files PLR.

- Assigns independent adjusters; independent appraisers; and experts to assist in the investigation and evaluation of the claim.

- Utilizes counsel to assist in coverage and / or investigation of claims.







- Determines settlement values:



- Utilizes information gained from claim investigations, applicable regulations, and policy provisions or limits.



- Reviews reserves:



- Reviews reserves on a 30-day basis.

- Modifies as necessary, within established authority, or seeks appropriate approvals.



- Develops and documents claims files.

- Establishes and maintains a 30-day diary to updated file handling.

- Negotiates with insureds, claimants, or legal representatives; settles claims promptly, fairly, and within established authority.

- Issues claim and expense payments.

- Secures appropriate approvals for check requisition on claims exceeding authority.

- Pursues other carriers for subrogation and determines percent of liability (non-auto claims).

- Handles non-auto salvage

- Ensures compliance with the Unfair Claim Practices Act and Good Faith Claim Handling regulation.

- Participates in claim orientation for Underwriting personnel, helping with analysis of coverage and/or claim situations.

- Performs other miscellaneous duties as assigned or directed.


**Qualifications/Basic Job Requirements:**





- Bachelor’s degree or equivalent education and experience combination

- Proficient interpersonal relations and communications skills (both written and verbal)

- Thorough knowledge of claims law

- Proficient analytical and problem solving skills

- Capacity to work well independently

- Moderate computer knowledge

- Demonstrated organizational and time management abilities

- Demonstrated abilities to deal with a variety of personalities

- Minimum of five years’ experience with investigation, management, and negotiation of liability and property claims in states of operation