Auto Claims Examiner
POSITION RESPONSIBILITIES :
- Analyze first reports and promptly contact insured / claimants.
- Effectively evaluate contract language and identify coverage issues.
- Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.
- Maintain an active file diary to move file toward resolution.
- Establish accurate and timely reserves.
- Recognize and pursue recovery.
- Adhere to all statutory and regulatory fair claims practices.
- Recognize and identify potential fraudulent claims.
- Effectively manage the use, work product and expenses of outside vendors.
- Effectively evaluate claim facts and negotiate claim settlements.
- Develop and maintain strong business relationships with internal and external customers.
- Serve as a technical resource to lesser experienced Adjusters on the team.
- Successfully contribute to the development and delivery of the team’s goals, objectives and results.
- Supports workload surges and / or Catastrophe Operations as needed to include working overtime during designated CATs.
KNOWLEDGE, SKILLS & ABILITIES :
- Full knowledge of insurance contracts, investigation techniques, legal requirements and insurance regulations.
- Ability to work effectively in teams and with a wide variety of people.
- An aptitude for evaluating, analyzing, and interpreting information.
- Excellent skills in the areas of :
- Customer service
- Investigation techniques
- Organization
- Time management and the ability to multi-task
- Verbal and written communication
- Negotiation and reserving
- Innovative thinking
EXPERIENCE & EDUCATION :
- Bachelor’s Degree or equivalent experience required.
- Minimum two years of claims adjusting experience required
- Claims Adjusting Licensure
Policy Statement : If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure..
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