Claims Adjuster

ESSENTIAL DUTIES AND RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below.

Specific activities may change from time to time.

1. Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis.

2. Settle claims within settlement authority, where applicable.

3. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally.

4. Attend mediations, when applicable and negotiate settlement within authority.

5. Oversight of vendors (attorneys / adjusters / experts) for accuracy in reporting. Audit invoices for accuracy.

6. Process incoming and outgoing claims and vendor payments.

7. Maintain loss fund.

8. Must review and recommend policy wording changes.

9. Perform claim status requests and updates.

10. Prepare daily, weekly and monthly reports.

11. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office.

QUALIFICATIONS

Required Qualifications :

The requirements listed below are representative of the knowledge, skill and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. High School Diploma

2. College degree or equivalent work experience

3. Claims Adjuster's license

4. Good organizational / time management skills

5. Ability to work under time constraints and meet deadlines

6. Strong verbal and written communications skills

7. Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment

8. Knowledge and use of correct spelling and grammar

9. Ability to write legibly

10. Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds

11. Ability to adhere to all organizational policies and procedures

12. Demonstrated proficiency in basic computer applications, such as Microsoft Office software products

13. Ability to travel, occasionally overnight

Preferred Qualifications :

1. Previous administrative support experience

General Description of Available Benefits for Eligible Employees of TIH :

All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance Holdings, LP (TIH) offering the position.

TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment and tax-preferred savings accounts, along with other voluntary benefits.

All regularly scheduled teammates (not temporary or contingent workers), regardless of the number of scheduled hours, can contribute to a 401(k) savings plan and you become eligible for Company matching contributions after one year of service and attainment of age 21.

Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays.