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Casualty Claims Representative IV

Key Facts

Remote From: 
Full time
Senior (5-10 years)
English

Other Skills

  • Microsoft Excel
  • Microsoft Word
  • Decision Making
  • Client Confidentiality
  • Non-Verbal Communication
  • Adaptability
  • Multitasking
  • Ethical Standards And Conduct
  • Time Management
  • Teamwork
  • Customer Service
  • Detail Oriented
  • Problem Solving

Roles & Responsibilities

  • 4 year college degree plus 4 years casualty experience with bodily injury adjusting experience; or 8 years of property and casualty with bodily injury adjusting experience
  • AIC, CPCU or other insurance certification strongly desired
  • Proficient with computers including Excel, Word, and web-based systems; ability to read, analyze and interpret procedures, regulations, instructions, manuals
  • Excellent telephone, public relations and oral/written communication skills; ability to solve practical problems and deal with a variety of concrete variables

Requirements:

  • Investigate, evaluate and negotiate complex automobile claims including non-injury, serious injury claims, fatality losses, UMBI exposures, and out-of-state losses
  • Determine proper policy coverages, investigate, evaluate, negotiate and equitably settle all assigned casualty claims in accordance with company guidelines and best claims practices
  • Establish and authorize reserve and claim payments and monitor reserves through the life of the file; maintain a diary system and handle numerous claims
  • Settlement negotiations with claimants, policyholders, and other parties; collaborate with in-house litigation unit as well as outside defense counsel; meet with multiple members of management to discuss claim actions in written and verbal format

Job description

DESCRIPTION OF ESSENTIAL DUTIES:
  • Investigate, evaluate and negotiate complex automobile claims including non-injury, serious injury claims, fatality losses, UMBI exposures, and out of state losses.
  • Determine proper policy coverages, investigate, evaluate, negotiate and equitably settle all assigned casualty claims in accordance with company guidelines and best claims practices.
  • Establish and authorize reserve and claim payments and monitor reserves through the life of the file.
  • The employee will be expected to handle numerous claims and to maintain a healthy diary system.
  • Settlement negotiations with claimants, policy holders, and other parties are crucial to the position.
  • Ability to multitask and address unexpected situations while showing the flexibility to do so.
  • Maintain high standards of professional conduct while delivering superior customer service.
  • The employee may assist other key Claims units in times of
  • Closely work with in house litigation unit as well as outside defense counsel.
  • Expected to meet with multiple members of management at once to discuss and advise on claim actions in both written and verbal format.
  • Continue job development through training.
  • Maintain a high degree of confidentiality.

OTHER RESPONSIBILITIES/REQUIREMENTS

Other duties as assigned by Manager or Supervisor

QUALIFICATION, EDUCATION AND EXPERIENCE REQUIREMENTS:
  • Requires:
    • 4 year college degree plus 4 years casualty experience with bodily injury adjusting experience; or
    • 8 years of property and casualty with bodily injury adjusting experience
  • AIC, CPCU or other insurance certification strongly desired.
  • Must be able to read, analyze and interpret procedures, regulations, instructions, manuals and other documents as required.
  • Excellent telephone, public relations and oral/written communication skills are
  • Must be able to solve practical problems and deal with a variety of concrete variables.
  • Ability to interpret a variety of instructions furnished in written, oral, or schedule
  • Must possess basic skills and be proficient or have demonstrated aptitude with computers including experience with Excel, Word, and web based systems.
PHYSICAL DEMANDS/WORK ENVIRONMENT:
  • Whileperformingthedutiesofthisjob,theemployeeisrequiredtooperateinanormaloffice environment with occasional travel necessary to visit office locations, conduct investigations, attend conferences/training classes and
  • The employee is required to sit, use hands to finger, handle controls and talk and hear.
  • The employee frequently is required to reach with hands and
  • Theemployeeisoccasionallyrequiredtostoop,liftandmoveupto30
  • Specific vision requirements by this job include close vision.
  • Must maintain a valid Georgia driver’s license

EOE M/F/D/V AA

#LI-Onsite

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