Insurance Claim Settlement Specialist

Claims Adjuster

The Claims Adjuster role involves the evaluation and settlement of insurance claims. This includes investigating loss details, determining legal liability, negotiating with claimants, and ensuring that claims are processed in accordance with state laws and regulations.

This position requires strong analytical and communication skills, as well as the ability to work independently and make sound decisions. A background in law, business, or a related field is beneficial for success in this role.

Evaluate and settle insurance claims.

Investigate loss details and determine legal liability.

Negotiate with claimants and vendors.

Ensure compliance with state laws and regulations.

Key Responsibilities :

As a Claims Adjuster, you will be responsible for the following tasks :

Conduct thorough investigations into loss incidents to determine the extent of damage or injury.

Review policyholder information and applicable policies to determine coverage.

Assess damages or injuries and calculate payment amounts based on policy provisions.

Communicate with claimants and vendors to negotiate settlements and resolve issues.

Maintain accurate records and reports of all claims activity.

Requirements :

To excel in this role, you should have :

A degree in a relevant field, such as law, business, or a related field.

At least 4 years of experience in claims adjusting or a related field.

Strong analytical and communication skills.

Ability to work independently and make sound decisions.

Knowledge of state laws and regulations governing insurance claims.

Preferred Qualifications :

While not required, the following qualifications would be advantageous :

Advanced knowledge of insurance contracts and policies.

Experience working with complex claims and negotiations.

Knowledge of risk management principles and procedures.

Benefits :

This role offers a competitive salary and benefits package, including health insurance, retirement savings plan, and paid time off.

Others :

This role may require occasional travel to inspect loss sites or meet with clients. A valid driver's license is required.

Skill Set :

The ideal candidate will possess the following skills :

Analytical and problem-solving skills.

Excellent communication and negotiation skills.

Strong organizational and time-management skills.

Ability to work effectively in a team environment.