About The Position
This job is responsible for investigating moderate represented claims which typically will include: uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents, and represented moderate or major claims. The individual also may handle complex CPL claims or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved. This position is for our Represented Casualty office with a focus on handling UM/UIM claims in the states of TX, CA, and UT.
Requirements
- 3+ years experience in liability investigations, bodily injury claim evaluations, and negotiation preferred
- Casualty claim handling experience is required
- Previous experience in bodily injury claims handling or a related field
- Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately.
- Ability to work independently and remotely, while managing time efficiently
- Familiarity with insurance policies, coverage, and liability determination
- Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully
- Knowledge of innovative tools and platforms for effective claims evaluation
- A home office – a dedicated workspace in your residence that is private and free from distractions.
- A minimum internet bandwidth of 50 MB down/5 MB up.
- Appropriate work surface and seating.
Nice To Haves
- Bodily Injury Claims
- Casualty Insurance
- Claims Resolution
- Critical Thinking
- Information Collection
- Liability Analysis
- Time Management
Responsibilities
- Investigate moderate represented claims, including uninsured or underinsured motorist (UM/UIM) claims in single or multi-car accidents, and represented moderate or major claims.
- Handle complex CPL claims or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.).
- Take recorded statements.
- Resolve loss of use claims.
- Make payments to appropriate parties.
- Negotiate and settle or refer bodily injury issues that cannot be resolved.
- Perform detailed reviews of damage and interpret policies to determine coverage.
- Use phone, emails, and video chat with customers to help them through a fast, fair, and easy claims process.
- Offer customers their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
- Evaluate and negotiate claims settlements with customers, vendors, third-party carriers, and claimants, in accordance with all legal and business standard methodologies.
- Incorporate tactics in handling challenging and complex situations during negotiations.
- Utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms.
- Execute policies according to policy agreements.
- Maintain a clear record of work in a claims system.
- Ensure timely and accurate documentation is completed as each claim is worked on.
Benefits
- Time off
- Healthcare
- Retirement
- Competitive pay
- Support for continuous development and career advancement
- Flexibility in scheduling
- A time off policy that helps support your work/life balance
- Initial and ongoing training
- Comprehensive benefits like a 401K/pension
- Education reimbursement
- Programs to help you balance work with the rest of your life
- Connectivity reimbursement of $80 per month
- A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse).
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
