Claims Adjuster & Assistant Claims Director

Job Overview
We are seeking a motivated, detail-oriented professional to join our team in a dual-track role as a Hybrid Claims Adjuster / Assistant Claims Director. This unique, hybrid position is based in Cleveland Ohio (2-3 days onsite). You will manage daily claims-adjusting operations while receiving hands-on mentorship, administrative oversight experience, and strategic training to step into a future Claims Director role.

Key Responsibilities

1. Claims Intake, Review, and Assignment

• Review, code, and assign incoming claims reports across multiple lines of business, ensuring all required documentation is complete and properly attached.
• Create claims files manually when required and process notice-only matters by issuing initial correspondence.
• Request supporting documentation (e.g., photos, video) and proactively follow up with relevant parties.
• Assign letters of representation, lawsuits, tenders, and subrogation matters received from internal partners or external sources.
• Process and code claims not routed through standard intake channels (including email, fax, or direct claimant contact), issuing notices and requesting supporting materials.
• Coordinate directly with property management or site contacts to obtain incident details for first notice of loss (FNOL) matters, keeping assigned adjusters notified.

2. Entry-Level Claims Handling & Adjusting

• Investigate, evaluate, determine liability, claim settlement value, and settle claims in accordance with company policies and client instructions.
• Identify opportunities to transfer client’s claims to third parties in accordance with contractual risk transfer. Timely notify the third party and aggressively pursue tender acceptance.
• Establish timely contact with the client, claimant, claimant attorneys, and others as appropriate and in accordance with client instructions.
• Timely recognize potential insurance coverage questions and elevate them for coverage determinations.
• Recognize state-specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation, including sending and securing proper documentation.
• Provide written summaries of claim facts, liability, damages, demands, liens, and recommendations for disposition of claims that exceed the adjuster’s settlement authority and as required by client/carrier instructions.
• Timely document activity and communications in the designated database. This includes all communications and activities that occur during the handling of the claim using factual and objective information.
• Respond to time-sensitive material, including lawsuits, demands, mediations, and arbitration hearings.
• Manage a diary system to systematically review and timely resolve claims.
• Obtain/maintain adjuster licenses as required and complete continuing education coursework to ensure compliance.

3. Communication and Involved Party Support

• Respond to inbound calls from claimants, providing professional, general explanations of the claims process and requesting incident reports as needed.
• Communicate seamlessly with attorneys, healthcare providers, insurance carriers, third-party administrators (TPAs), and involved parties.
• Respond directly to complex or sensitive inquiries escalated from corporate or centralized claims lines.
• Follow up with site security or management teams to ensure incident reports are created, approved, and assigned within established timelines and assure surveillance footage has been preserved.
• Safeguard proprietary and confidential data at all times during communication.

4. Administrative Leadership & Leadership Training

• Review and approve team time-off requests in accordance with staffing guidelines; coordinate with management on extended leave requests.
• Maintain comprehensive departmental calendars and notify appropriate parties of approved schedule changes.
• Respond to property damage inquiries, clarify claim-handling responsibilities, and efficiently direct matters to appropriate parties when outside the department’s scope.
• Manage non-litigated, service-related tenders, including claimant coordination or transportation arrangements.

Qualifications & Skills

Experience & Licensing:

• Minimum of 3 years claims handling experience is required, preferably working on self-insured general liability accounts with multi-state exposure.
• Adjusting licenses in all operating states is prefe…