Essential Duties and Responsibilities:|
Manages, processes and resolves claims assigned by Claims Manager .
Evaluates medical reports and makes recommendations for resolution.
Communicates with all parties involved in claim in order to gather information regarding claims and refers tasks to auxiliary resources as necessary.
Ensures appropriate file documentation of claims & timely reporting of claims matters.
Responds to various written and telephone inquiries including status reports.
Ensures accurate reserves for compliance purposes and reports large loss claims to CEO, CFO, and VP of Claims.
Confirms or denies coverage and parties as to proper course of action.
Manages outside attorneys through all stages of the litigation process.
Negotiates settlements with attorneys, claimants, and/or co-defendants.
Arranges for expert inspections involving third party or potential fraud actions as needed.
Updates files and provides comprehensive reports as required.
Identifies and recommends referral of potentially fraudulent claims to the SIU.
Provides guidance and direction to less experienced claims examiners.
Minimum of 10 years experience as a claims examiner in the insurance field.
Minimum 3 years of No-Fault claims & litigation handling experience.
Bachelors degree preferred
Thorough knowledge of NY, MI and FL No Fault claims handling.
Candidates must meet all minimum requirements and submit a complete on-line application to be considered for this position. Relocation assistance is not offered for this position.
Required Knowledge, Skills and Abilities:
Has working knowledge of all aspects of the legal process including but not limited to timeframes, mediation, pre-trial discovery, spoliation, trial procedures, and the appellate process.
Accountable for litigation management and controlling associated costs.
Requires excellent analytical ability, attention to detail, and ability to work independently and in teams.
Excellent oral and written communication skills and organizational skills required.
Ability to analyze variables, such as medical records and legal documents
Negotiation and settlement skills
Ability to identify fraudulent claims for referral to Special Investigation Unit
Intermediate knowledge of MS Office applications required
Claims Adjuster's license preferred
Experience in the car rental industry a plus.
Knowledge of rental contract terms and conditions preferred.
Occasional Travel is required.
We offer a competitive salary plus bonus potential and excellent benefits including dental, medical, tuition reimbursement, 401K and more.
The information on this posting has been designed to advertise the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The actual essential duties, responsibilities and qualifications may vary by location, department, reporting structure or other business needs. No inference should be drawn that a specific job duty, responsibility or qualification is non-essential by its absence from this posting. This posting serves as an advertisement of an existing open position only and does not qualify as the job description
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