Auto Senior Claims Examiner

POSITION RESPONSIBILITIES:

• Analyze first reports and promptly contact insured/claimants.
• Effectively evaluate contract language and identify coverage issues.
• Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.
• Maintain an active file diary to move file toward resolution.
• Establish accurate and timely reserves.
• Recognize and pursue recovery.
• Adhere to all statutory and regulatory fair claims practices.
• Recognize and identify potential fraudulent claims.
• Effectively manage the use, work product and expenses of outside vendors.
• Effectively evaluate claim facts and negotiate claim settlements.
• Develop and maintain strong business relationships with internal and external customers.
• Serve as a technical resource to lesser experienced Adjusters on the team.
• Successfully contribute to the development and delivery of the team’s goals, objectives and results.
• Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.
• Qualifications for Internal Candidates

KNOWLEDGE, SKILLS & ABILITIES:

• Full knowledge of insurance contracts, investigation techniques, legal requirements and insurance regulations.
• Ability to work effectively in teams and with a wide variety of people.
• An aptitude for evaluating, analyzing, and interpreting information.

Excellent skills in the areas of:

• Customer service
• Investigation techniques
• Organization
• Time management and the ability to multi-task
• Verbal and written communication
• Negotiation and reserving
• Innovative thinking

Current Claims Adjuster licenses in one or more states preferred but must be willing to obtain additional state licensures.

EXPERIENCE & EDUCATION:

• Bachelor’s Degree or equivalent experience required.