The Bodily Injury Examiner is responsible for serving members and resolving casualty claims, while maintaining the highest level of quality. This includes establishing prompt contact with members, coordinating timely investigations, ensuring legal compliance, maintaining file quality requirements, and adhering to corporate service standards, goals and criteria. Reporting to the Senior Manager, National Injury, the core parts of your role will be to: Support customer service, which includes responding to inquiries and maintaining and improving work quality and volume. Establish proof of loss. This includes studying and analyzing documentation, collecting additional information from various outside parties as required, initiating, or conducting investigation of questionable claims, and negotiating and disposing of casualty claims of minor to moderate complexity in a timely manner. Maintain quality service and adheres to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, liability assessments, and setting an agenda for future handling. Build documents in defense of moderate exposure claims. This includes assessing damages, recognizing potential exposures, implementing tasks to contain ultimate value and disposition of moderate exposure claims using superior negotiation skills. Represent stakeholders in a professional manner at meetings, court hearings, mediations and other information gatherings with a view to effect settlement when appropriate. Provide legal support, assembling documentation for settlement action as requested by senior staff. Keep claims information confidential to protect operations. Maintain client database and complete defined functions directly onto the computer system, while ensuring accuracy of input data. Adhere to guidelines, contract, and insurance regulations to ensure legal compliance. Collect, analyze, and summarize information for reporting purposes. Perform other duties within competence, as assigned.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed