Claims Adjuster I assisting customers who have suffered minor injuries from motor vehicle accidents. Ensuring timely investigation and adjudication of medical claims.
About the role
- Claims Adjuster handling mid- and higher-level auto claims. Analyzing damages and negotiating settlements while ensuring compliance with industry standards.
Responsibilities
- To analyze mid- and higher-level general auto claims to determine scope of damages.
- To ensure ongoing adjudication of claims within company standards and industry best practices.
- To identify subrogation of claims and negotiate settlements.
- Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure.
- Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assesses liability and resolves claims within evaluation.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- Maintains professional client relationships.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Secure and maintain the State adjusting licenses as required for the position.
- Four (4) years of claims management experience or equivalent combination of education and experience required.
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled.
- Excellent oral and written communication skills, including presentation skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Excellent interpersonal skills.
- Excellent negotiating skills.
- Ability to create and complete comprehensive, accurate and constructive written reports.
- Ability to work in a team environment.
- Ability to meet or exceed Performance Competencies.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Bilingual Claims Adjuster I managing accident benefit claims for customers in Canada. Collaborating with various stakeholders to ensure timely response and support throughout the claims process.
Claims Representative I managing new claims for clients in a hybrid work model. Collaborating with clients to gather information and settle claims fairly.
Property Claims Representative responsible for navigating the claims process at MutualONE Insurance Company. Evaluating claims, providing customer service, and coordinating with experts.
Claims Adjuster assessing home - related claims as part of a team at Intact. Focusing on customer service and efficient claims management with a diverse workforce.
Claims Analyst providing settlement opinions and coaching advisors in a remote work setting. Ensuring compliance with claims policies and helping resolve claims issues effectively.
National Property Claims Adjuster at Aviva handling property claims and ensuring quality customer service. Supporting insurance claims in a hybrid work environment.
Field Claims Specialist conducting on - site inspections and investigating property claims at Intact, providing superior customer service. Collaborating with teams while assessing complex insurance claims across Ontario.
Claims Specialist handling high complexity property claims in Ajax and Mississauga, Canada. Delivering superior customer service and collaborating with various departments in claims management.
Bilingual Claims Processor responsible for evaluating and processing pet insurance claims in Canada. Ensuring appropriate coverage and compensation while collaborating with veterinary hospitals and policyholders.