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Alpharetta, GA
(Click company name to view employer profile and all available positions.)
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| Career Field |
Claims
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| Insurance Discipline |
All
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| Relocation Assistance |
Not Available
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| Job Duration |
Full Time |
| Salary Offered |
Open
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Purpose:
- Conducts coverage investigation and analysis, outside liability investigation and
analysis to include face to face meetings with claimants and scene photos, evaluation of
bodily injury and property damage claims, and negotiation and resolution of PL and CL
auto bodily injury, and homeowner''s liability. Makes face-to-face same day contact with
claimants and insureds; provides outstanding customer service, and adheres to
company Best Practices.
- Investigates, evaluates, reserves, negotiates and settles assigned claims in
accordance with Best Practices. Provides quality claim handling and superior customer
service on assigned claims, while engaging in indemnity & expense management.
- Promptly manages claims by completing essential functions including contacts,
investigation, damages development, evaluation, reserving, litigation management, and
disposition.
Responsibilities and Duties:
- Timely coverage analysis and communication with insured based on application of
policy information to facts or allegations of each case. Consult with Unit Manager on
use of Claim Coverage Counsel.
- Investigate each claim through prompt contact with appropriate parties such as
policyholders, accounts, claimants, law enforcement agencies, witnesses, agents,
medical providers and technical experts to determine the extent of liability, damages,
and contribution potential. Take necessary statements.
- Identify resources for specific activities required to properly investigate claims such as
outside claim representatives, nurse consultants, and fire or fraud investigators and to
other experts. Request through Unit Manager and coordinate the results of their efforts
and findings.
- Verify the nature and extent of injury or property damage by obtaining and reviewing
appropriate records and damages documentation.
- Keeps effective diary management system to ensure that all claims are handled timely.
- At required time intervals, evaluate liability & damages exposure, and establish proper
indemnity & expense reserves. Utilize evaluation documentation tools in accordance
with department guidelines.
- Responsible for prompt and proper disposition of all claims within delegated authority. - Negotiate disposition of claims with insureds and claimants or their legal
representatives. Recognize and implement alternate means of resolution
- Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal
proceedings, as needed.
- Maintain claim files, have an effective diary system, and document claim file activities in
accordance with established procedures.
- Update appropriate parties as needed, providing new facts as they become available,
and their impact upon the liability analysis and settlement options.
- Recognize cases based on severity protocols to be referred to next level claim handler
or Major Case Unit and refer on a timely basis.
- Appropriately deal with information that is considered personal and confidential.
- Compliance with Claim Department''s Best Practices.
- Fulfill specific service commitments made to certain accounts, as outlined in Special
Account Communication (SAC) instructions, and inquires from agents and brokers.
Knowledge and Skills:
College degree or equivalent in business discipline preferred.
A minimum of three years of auto bodily injury claim handling experience, outside claim handling preferred. Litigation experience a plus. Candidates must have experience in negotiating bodily injury claim settlements directly with claimants and attorneys.
Homeowner''s experience a plus
Strong keyboarding skills and basic PC familiarity.
Ability to work independently in a virtual home office environment.
Must be flexible to meet the service needs of our customers and business partners.
Strong negotiation skills.
Ability to handle multiple tasks simultaneously in a fast paced environment.
Independent decision making ability.
All candidates must have valid driver''s license and clean motor vehicle record for past three years.
Auto appraisal skills are also a plus.
This position requires either the use of a company car or 6,000+ reimbursable miles. Therefore, any offer of employment will be contingent upon receipt of an acceptable Motor Vehicle Report.
Advanced level knowledge and skill in claims.
Basic working level knowledge and skill in various business line products.
Strong negotiation and customer service skills
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