EXPERIENCED CLAIMS ADJUSTER (AUTO & LIABILITY) - REMOTE- LOUISIANA CLAIMS
About the position
Responsibilities
• Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
• Establish reserves and/or provide reserve recommendations within established reserve authority levels.
• Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
• Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of multi-line claims in accordance with CCMSI claim procedures utilizing a claim payment program in accordance with Industry standards and within established payment authority.
• Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors (i.e. legal, surveillance, case management, etc.).
• Assess and monitor subrogation claims for resolution.
• Review and maintain personal diary on claim system.
• Prepare reports detailing claim status, payments and reserves, as requested.
• Compute disability rates in accordance with state laws.
• Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
• Prepare newsletter articles as requested.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.
• Conduct claim reviews and/or training sessions for designated clients, as requested.
• Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Requirements
• 5+ years of multi-line claim experience is required.
• Previous experience with litigated claims is highly preferred.
• Excellent oral and written communication skills.
• Good analytic and negotiation skills.
• Detail oriented and a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize tasks effectively.
• Knowledge of all lower level claim position responsibilities.
• Ability to cope with job pressures in a constantly changing environment.
• Discretion and confidentiality required.
• Reliable, predictable attendance within client service hours.
Nice-to-haves
• Proficient with Microsoft Office programs.
• Initiative to set and achieve performance goals.
• Flexibility, accuracy, and the ability to work with minimum supervision.
Benefits
• 4 weeks of PTO in your first year
• 10 paid holidays
• Medical, dental, vision, life insurance
• Critical illness insurance
• Short and long-term disability
• 401K
• Employee stock ownership (ESOP)
Apply tot his job
Apply To this Job