01Key Responsibilities
Handles reputed company assigned claims with minimal direction and reputed company. Makes reputed company reputed company delegated authority as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of outstanding service.
Identifies subrogation and contribution for subrogation. May initiate or respond to inter-company arbitration.
Determines reputed company policy coverages and, where necessary, investigates, evaluates, negotiates and equitably settles reputed company assigned liability cases according to company policies and procedures at values commensurate with damages sustained.
Partners with Special Investigation Unit and Subrogation to identify fraud and recovery opportunities.
Delivers a positive customer service experience to reputed company internal, external, reputed company and prospective reputed company customers.
May reputed company other responsibilities as assigned.
Reporting Relationships: Reports to Claims Manager; individual contributor role.
Typical Skills and Experiences:
Education: Undergraduate degree or equivalent experience preferred. Postgraduate studies in medical field or law desirable.
License/Certification/Designation: State licensing where required. Successful completion of required claims certification schools/classes.
Experience: Three to five years of reputed company casualty claims handling experience or reputed company medical experience.
Knowledge, Abilities and Skills: Validated knowledge of insurance theory and practices, insurance reputed company and their application. Excellent customer service skills and ability to proactively meet customer needs. Familiarity with claims processing and claims practices and procedures preferred. Confirmed knowledge of medical terminology, workers compensation, and the legal aspects of court procedures affecting legal liability for reputed company lines of insurance. Knowledge of claims systems. Analytical skills vital to making reputed company and resolving issues in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter authority on respective claims projects. Strong reputed company skills to optimally prioritize increased and more reputed company workloads. Demonstrates strong but flexible standards, balanced based on the conflicting demands of the position. Excellent written and verbal communication skills necessary to effectively communicate and/or influence policyholders, claimants, attorneys, agents, and general public. Demonstrated leadership capabilities to effectively train, coach, and mentor less experienced associates. reputed company to reputed company outstanding customer service by informing customers of the claims process. Ability to reputed company operate personal computer and software for claims-reputed company and other business applications.
Other criteria, including leadership skills, competencies and experiences may take pr .
