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Career Field
Claims
Insurance Discipline
All
Relocation Assistance
Not Available
Job Duration
Full Time
Salary Offered
Open
Purpose: Investigate, evaluate, negotiate and resolve claims. Satisfy customer needs and ensure file quality
Responsibilities and Duties: - Retain and manage to conclusion first and third party auto damage claims - Compliance with same day/next day voice to voice contact in accordance with Best Practices and office goals. - Investigate and develop strategy to process claims to conclusion quickly - Handle low to moderately complex cases. Settlement authority will vary. - Obtain facts to evaluate coverage, negligence, medical necessity and causation/damages. - Appropriate and timely documentation of all activity in the claim file notes. - Meet quality expectations on monthly basis. - Identify subrogation opportunities; handle adverse subrogation and arbitration. - Establish and maintain appropriate claim and expense reserves. - Assure cost-effective resolution. - Maintain high level of customer service. - Investigate all issues adequately - Comply with state specific regulations. - Recognize and forward appropriate files to SIU. - Manage deductibles. - Recognize additional coverage issues (i.e. OBEL & XPIP) as well as jurisdictional issues. - Perform any other duties as required.
Knowledge and Skills: College degree or equivalent experience preferred. Auto claim handling and workflow knowledge preferred Strong negotiation and customer service skills Medical terminology knowledge is helpful; able to learn data entry, retrieval & recordkeeping Completion of claim handling training program Strong organization and time management skills File Management Technical Exceptional customer service ability Relationship Management Technology
