Senior Claim Adjuster- Property & Casualty

SUMMARY
Investigates and evaluates losses while developing a plan of action to bring claims to proper resolution in a timely manner. Experience level minimum of 3-5 years.

JOB REQUIREMENTS:
Determines extent of insurance coverage and liability on each filed claim
Investigates claims, including interviewing claimants, clients and witnesses
Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc.
NMVTIS and CMS/Section 111 reporting
Utilizes appropriate preferred vendors
Presents thorough and accurate reports to clients and excess carriers on claims investigations/situations
Negotiates settlements for resolutions with claimants and their attorneys
Maintains control of litigation activities and costs per account requirements
Effectively addresses and maintains in coming Docuclass documents in a consistent and timely manner
Attends meetings; mediations, conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas
Maintains and meets state specific licensing requirements
Responds to client questions and comments in a courteous and timely manner
May be responsible for handling catastrophic losses
All other duties as assigned

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Ability to understand and follow oral and/or written policies, procedures and instructions
Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
Ability to conduct investigations in multi-party situations
Ability to use standard or customized software applications appropriate to assigned tasks
Ability to prepare and present accurate, reliable and factual reports with recommendations
Thorough knowledge of current principles and practices associated with claims investigations, adjustment and related practices
Extensive knowledge of medical and legal terminology with a thorough understanding of legal principles/litigation management
Ability to handle confidential information
Ability to communicate effectively with others both orally and in writing
Ability and willingness to learn quickly and utilize new skills as a result of rapidly
changing information and/or technology
Ability to comprehend multi-state laws and regulations

REQUIRED EXPERIENCE:
Should have 3-5 years of experience in handling property and casualty claims. A
college degree or equivalent business experience needed.