Agri Bus Lead Adjuster
Ace Group - Johnston, IA

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Purpose: Investigate, evaluate and resolve claims of moderate complexity within established claim guidelines set forth by the Agribusiness Claim Department. Supports the Claim Department mission of handling claims in a timely, cost efficient manner while adhering to company claim compliance standards.

Essential Job Duties and Responsibilities:

 Investigates and evaluates moderately complex claims by analyzing facts gathered during the investigation stage to determine application of coverage, liability, compensability, damages and recovery potential.
 Adheres to claim procedural guidelines established for the Agribusiness Claim Department.
 Sets and monitors appropriate reserves for pending claims within reserve authority.
 Settles claims within delegated settlement authority.
 Develops “action plans” to assist in resolving claim files to conclusion.
 Maintains an effective diary system and adequate file documentation.
 Manages Allocated Loss Adjustment Expense by directing vendors to perform only necessary task-specific assignments.
 Maintains a working relationship between claims and the underwriting and marketing department.
 May provide direction to lower level claims personnel.
 Communicate with customers, vendors, medical providers, attorneys, agents, and other employees when necessary in the claims handling process.
 Performs special projects and other job duties as assigned.

Knowledge, Skills, and Abilities

 Ability to organize, prioritize and manage claim volume.
 Ability to analyze issues, recommend solutions and make decisions with limited supervisory guidance.
 Ability to articulate thoughts and issues clearly.
 Ability to read and understand company procedure manuals and apply information to work tasks.
 Ability to interpret and evaluate medical information.
 Ability to comprehend and understand tort law statutes.
 Ability to explain comparative negligence to insured’s and claimants.
 Ability to apply depreciation on personal property claims.
 Ability to organize and prioritize multiple tasks.
 Ability to work well with people in a team environment.
 Ability to effectively communicate and maintain business relationships with Company personnel, agents, outside resources, and customers.
 Ability to learn and use the company terminology, processes and systems.
 Knowledge of general office practices.
 Ability to perform basic and complex mathematical calculations.
 Ability to remain calm and professional.
 Ability to work from oral and written communications.
 Ability to work independently with limited supervision and follow assigned duties through to completion.
 Ability to maintain confidentiality.
 Ability to assist in other work-related areas as required.

Agri Bus Lead Adjuster

Ace Group - 23 months ago - save job - copy to clipboard
About this company
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The ACE Group is one of the world’s largest multiline property and casualty insurers. With operations in 53 countries, ACE provides...