Job description
Primary Responsibilities:
- Analyzes insurance policies and other documents to determine insurance coverage.
- Investigates and analyzes claim information to determine extent of liability.
- Handles claims 1st Party Property Claims with complex to major severity.
- Assist in suits, mediations and arbitrations. Works with Counsel in the defense of litigation.
- Sets timely, adequate reserves in compliance with the company’s reserving philosophy.
- Engages experts to assist in the evaluation of the claim.
- Monitors vendor performance and controls expense costs.
- Evaluates, negotiates and determines settlement values.
- Communicates with all interested parties throughout the life of the claim. Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties.
- Handles all claims in accordance with Best Practices.
- Responsible for monitoring and completing assigned claims inventory.
- Acquire and maintain a state adjuster’s license and meet state continuing education requirements.
- Provides Best-In-Class customer service for insureds and agents.
- Updates and maintains the claim file.
- Identifies opportunities for subrogation and ensures recovery interests are protected.
- Identifies fraud indicators and refers files to SIU for further investigation.
- Participates in claims audits, internal and external.
- Provides oversight of TPAs
Education & Experience:
Bachelor’s degree or equivalent work experience
1-3 years of claims adjusting experience
Can handle Assignment of Benefits, Public Adjusters, and Attorneys
State adjuster licenses preferred
Xacitmate and/or Symbility experience preferred
#LI-Remote
#LI-TH1
Click
here
for some insight into our culture!
gatheringourvoice.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, gatheringourvoice.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, gatheringourvoice.org is the ideal place to find your next job.