Description
Essential Duties & Responsibilities:
Coverage:
- Identify, analyze, and confirm coverage.
Claim Handling Oversight:
- Acknowledge receipt of claim to Member Company and Client within 4 hours of receipt.
- Contact appropriate parties and other involved carriers to place them on notice of a claim.
- Set appropriate reserves according to information received from Member Company.
- Set diary reminders for appropriate follow up with Member Company for report, investigation, and litigation updates, reserve changes, and any other updates as presented.
- Update claim file notes and reserves appropriately.
- Complete coverage letters and Pre-Trial Litigation reports for the client as needed.
- Communicate with Member Company and Clients as appropriate for significant changes and closures.
Quality Assurance:
- Assist Quality Assurance team when requested with:
- Claim file audits.
- Regulatory Agency and Service Complaints investigation and response.
- Employee training.
- Process Improvement.
- Additional projects as requested.
Work Environment Requirements:
- This role requires extended periods of computer screen usage for tasks such as data entry, research, and virtual meetings.
- The ability to maintain focus and productivity while working for long hours in front of a screen is essential.
Qualification Requirements:
Education / Licensing:
- High School Diploma or equivalent required, 2-year degree or higher preferred.
- 5 years of prior multi-lines claim adjusting experience (Auto, General Liability or Property).
- Must possess a current Florida Adjuster’s license and other required jurisdictional licensing.
Technical Skills
- Must be genial and have a high level of interpersonal skills to handle complex, sensitive, and confidential matters with patience, objectivity, and diplomacy.
- Must possess strong customer service skills along with critical analysis of trending, problem solving analysis and correction planning skills.
- Previous negotiation and litigation skills preferred, but not necessary.
- Must be able to work independently and possess excellent written and verbal communication skills.
- Advanced knowledge of a variety of computer software applications in word processing, spreadsheets, database, and presentation software. (Microsoft Office platform.)
Abilities:
- Requires long periods of sitting.
- Requires working indoors in environmentally controlled conditions.
- Requires lifting of files and boxes up to approximately 20 pounds.
- Repeated use of a keyboard, mouse, and exposure to computer screens.
- Ability to travel when needed.