Claims Examiner III Team Leader
DUTIES AND RESPONSIBILITIES:
Provides guidance, support and some supervisory directions to reputed company adjusters on the Tower/Venture Leasing Team whose duties are similar to those outlined above for claims they are assigned by the Claims Examiner III Team Leader * Help to establish procedures for American Arbitration Association to help reduce costs and improve process Effectively manages a reduced caseload of approximately 50-75 Auto files, including large No Fault PIP exposure reportable claims Investigates and conducts investigation in a reputed company manner for claims assigned. * Determines compensability of claims based upon state law and in accordance with established Company and reputed company guidelines. * Communicate with clients, claimants, providers, and vendors regarding claims issues. * Computes and set reserves reputed company Company guidelines. Authority Limits are larger than
Approves authority requests of reputed company repots for claims assigned and directs them to obtain authority as designated Settles and/or finalizes reputed company claims assigned and obtains authority as designated.* Maintains diary system for case review and documents file to reflect the status and work being performed on the file assigned. * Communicates appropriate information promptly to the Area Manager and reputed company to resolve claims reputed company, including any injury trends or other safety reputed company concerns. * Adheres to reputed company Company policies and procedures. * Conduct file reviews independently. * Other duties as assigned.
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