Sr. Claim Adjuster - Liability

Employer
Alternative Service Concepts, LLC
Location
Las Vegas, Nevada
Salary
Salary commensurate with experience. Medical, dental, vision, 401(k), generous PTO bank and more.
Posted
Apr 16, 2018
Closes
Jun 15, 2018
Category
Claims
Job Type
Full Time

SUMMARY

Investigates and evaluates losses while developing a plan of action to bring claims to proper resolution in a timely manner.    Experience level preferably between 5-7 years.   Experience handling public entity claims a plus.  

JOB REQUIREMENTS:

  • Determines extent of insurance coverage and liability on each filed claim
  • Investigates claims, including interviewing claimants, clients and witnesses
  • Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc.
  • NMVTIS and CMS/Section 111 reporting
  • Utilizes appropriate preferred vendors
  • Presents thorough and accurate reports to clients and excess carriers on claims investigations/situations
  • Negotiates settlements for resolutions with claimants and their attorneys
  • Maintains control of litigation activities and costs per account requirements
  • Effectively addresses and maintains in coming Docuclass documents in a consistent and timely manner
  • Attend meetings; mediations, conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas
  • Travel may be required for claim or scene investigations as necessary
  • Maintains and meets state specific licensing requirements
  • Responds to client questions and comments in a courteous and timely manner
  • Is responsible for catastrophic losses, complex litigation, and other sensitive issues
  • All other duties as assigned

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

  • Ability to understand and follow oral and/or written policies, procedures and instructions
  • Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
  • Ability to conduct investigations in multi-party situations
  • Ability to use standard or customized software applications appropriate to assigned tasks
  • Ability to prepare and present accurate, reliable and factual reports with recommendations
  • Thorough knowledge of current principles and practices associated with claims investigations, adjustment and related practices
  • Extensive knowledge of medical and legal terminology with a thorough understanding of legal principles/litigation management
  • Ability to handle confidential information
  • Ability to communicate effectively with others both orally and in writing
  • Ability and willingness to learn quickly and utilize new skills as a result of rapidly changing information and/or technology
  • Ability to comprehend multi-state laws and regulations to assist other offices, as necessary 

Required Experience:

Should have 5-7 years experience in handling property and casualty claims.  A

college degree or equivalent business experience needed.  

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