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 Examiner at ClaimsPro LP, investigating and settling property claims in the US. Collaborate with outside adjusters and recognize state specific laws for compliance in claims investigation.
Responsibilities
- Investigating and settling property and first party claims and third-party claims
- Initiate the investigation of new claims
- Make liability/coverage decisions
- Evaluate and negotiate settlements of collision, specified perils, and property damage, as appropriate
- Manage and oversee the work of outside adjusters, appraisers and experts
- Establish contact with the insured and claimant within established protocol
- Recognize coverage issues and bring them to the attention of the supervisor
- Develop basic understanding of liability and coverage principles
- Recognize state specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation including sending and securing proper documentation
- Complete research to determine market value on automobiles and heavy equipment to make recommendations on total loss settlement values using proper state valuation methods
- Summarize and make recommendations for disposition of claims in excess of the individual settlement authority
- Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints
- Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines
- Maintain state license by completing continuing education coursework and/or work towards a claims designation
- Handle small claim suits as needed
- Other duties as assigned by the claims supervisor
Requirements
- High School Diploma or Equivalent required
- Bachelor’s degree is preferred
- Experience with Lloyd’s of London is considered an asset
- Proficient in Microsoft Office
- Experience with Xactimate
- Able to be licensed in states, countries where necessary
- AIC designation preferred
Benefits
- Remote working but may require some travel to home office
- We welcome and encourage applications from people with disabilities
- Accommodation is available on request for candidates throughout the recruitment and assessment process
- All prospective employees must pass a background check
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