Casualty Claims Adjuster
• *This is a remote desk position**
Looking for someone with exp in our footprint states; MI, OH, WI, IL, IN, KY, TN, SC, NC, VA, GA, AL
Summary: Under limited supervision and with independent judgment, investigates, evaluates and resolves/disposes of casualty claims (Bodily Injury, Property Damage and Construction Defect) to determine the extent of company liability; may include determination and evaluation of coverage, compensability liability and damage in accordance with policy provisions by performing the following duties.
Essential Duties and Responsibilities:
• Follows corporate policies, procedures, and fair claims handling practices
• Investigates claims to determine validity and extent of liability, including:
• Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
• Reviews and evaluates documentation, including applications, reports, and statements
• Monitors appropriate claim outcomes through self-audit process
• Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
• Ensures legal, regulatory and fair claims handling compliance
• Sets or recommends reserves based on results of claim investigation.
• Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
• May provide extensive interaction with insureds, agents, claimants, attorneys, and other service providers, including
• Conducts in-depth interviews and/or scene inspections
• Attends settlement conferences and/or trials
• May serve as a member of project teams, contributing to the achievement of project objectives.
• Provides leadership to junior staff by training and providing guidance. May provide input to management regarding junior staff performance.
• Performs other duties as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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.
Education/Experience:
Level 5: Four to six years related experience and/or training; or bachelor's degree (B.A.) from four-year college/university; or equivalent combination of education and related experience/training.
A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.
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