Investigates and handles to conclusion minor to moderate first and third party claims involving coverage and liability determination.
•Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using best practices.
•Identifies exposures and refers files or features for triage to the appropriate level including referring injury claims to the appropriate level.
•Contacts insured, claimants including guest passengers to rule out any physical damage, first party medical, or injury claims.
•Obtains information and investigates the facts of loss to make a liability determination.
•Assigns material damage features as needed and may handle all customer questions to conclusion.
•Use expert systems to evaluate facts of loss and impact on liability.
•Documents files to include all key activities, contacts made, statements taken, including a full outline covering all aspects of the claim and requirements for resolution and process claims with Esurance claims systems.
•Identifies and transfers total loss features to the Total Loss Unit for handling.
•Identifies referrals, completes proper summaries and forwards files to subrogation for collection in a timely manner
•Makes referrals to SIU as needed and sets up rental for the insured or claimants.
•Detail-oriented with strong organizational, negotiation, influential, and customer service skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
•Demonstrated ability to work effectively independently and within a collaborative team oriented environment using sound judgment in decision-making.
•Demonstrated ability to manage relationships with both internal and external customers.
•Excellent communication skills both oral and written with strong presentation skills
•Strong analytical and problem solving skills
•Demonstrated proficiency with MS Office products (Outlook, Word, Excel, PowerPoint) and claims related software applications.
Experience / Education:
•Bachelor’s degree in Business Administration, a related field, and/or equivalent education required.
•One year of claims adjusters experience.
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