Investigative and negotiate BI Claims protecting our insureds. This position concentrates on auto liability with an opportunity to handle both property and injury losses and litigated cases.
Responsibilities:
- Evaluate policy coverage, contact insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.
- Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability, compensability, and extent of damages.
- Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes, and documents results of contacts, relevant medical reports and duration information per file posting standards.
- Determine need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers.
- Evaluate claim for potential fraud.
- Assess actual damages associated with claims and conduct negotiations to settle claims.
- Handle all legal liability, lawsuits and litigation matters.
Qualifications:
- Ability to communicate effectively with individuals from all backgrounds and uphold our high standard of customer service.
- Thorough knowledge of insurance coverages, contracts, claims handling guidelines, legal and medical terminology.
- Experience with homeowner liability and auto liability encompassing injury and property damage losses.
- Experience with litigated claims.
- Ability to analyze information, such as medical records and legal documentation.
- Negotiation and settlement skills.
- Bachelors’ degree preferred, continuing insurance education desired.
- Hard work, honesty, integrity and unwavering business ethics.
- Detail-oriented organizational skills in a multi-tasking environment.
- Success driven individual who has demonstrated success in a claims adjusting role.