Claims Adjuster

The Pasha Group•Reno, NV

1d•Onsite

About The Position

The Claims Adjuster receives, analyzes, negotiates, documents, and resolves assigned claims with values up to authorized limit, and completes associated subrogation and recovery processes. Primary Objectives Process and resolve claims, recoveries, and subrogations in a timely, efficient, and effective manner. Record claims information timely in appropriate data systems and collect, complete, and submit all required documentation. Ensure payments are processed with appropriate release and financial protocols. Coordinate and resolve claims with the business units involved. Communicate effectively with customers, business units, and management teams.

Requirements

Associate's degree or equivalent combination of college-level coursework and experience required
3+ years’ related, relevant claims experience (e.g. cargo transportation) required
Knowledge of and ability to apply handling characteristics of specialty cargo in claims adjudication process (e.g. Container, OHW, Auto, Logistics).
Knowledge of applicable and industry-related policies, practices, procedures, regulations and laws.
Ability to work independently, prioritize work, and drive open items to closure.
Demonstrated business communication (verbal, written, interpersonal, and customer relations) skills; ability to effectively present complex topics in a concise manner.
Skill in collecting and analyzing complex data, evaluating information, drawing appropriate conclusions and presenting.
Proven ability to identify critical issues, prioritize effectively, and execute quickly.
Proficiency in the use of claims RMIS or other claims database software.
Demonstrated proficiency with use of Microsoft Word, Excel, and PowerPoint.

Responsibilities

Settle claims on behalf of the organization with an independent authority level up to $5,000.
Review claims and assess extent of losses and damages based on the merits of each claim.
Acknowledge and process fully-supported claims within required timeframes.
Fully investigate all claims to determine liability and valuation.
Process all settlements in accordance with applicable tariffs, contracts, bills of lading, and local regulations and conventions.
Properly apply limitation and denial mechanisms to prevent overpayment.
Provide timely notice to underwriters and coordinate handling of matters per policy provisions.
Seek recoveries from underwriters as appropriate.
Record and maintain claim data in claims systems in an accurate, detailed, and timely fashion.
Negotiate settlements on the best terms with customers up to the level of financial responsibility assigned.
Seek formal approval prior to settling claims above the assigned authority.
Identify, provide timely notice to, and seek recoveries from third parties as applicable.
Identify and make recommendations on loss prevention opportunities.
Monitor aging on outstanding invoices; follow up or escalate as needed to ensure timely closure.
Keep detailed claim financial records, including establishment and adjustment of reserves.
Process all invoices associated with claims handling (i.e. surveys, studies, etc.).
Manage relationships with external claims vendors to ensure ongoing relationship is maintained.
Ensure internal customers are properly apprised of claims relevant to their respective areas.
Communicate and coordinate with management and sales teams regarding claim settlements as needed to support client relationship management.
Develop and maintain good working relationships with underwriters and third parties.
Ensure compliance with company policies, contractual obligations and regulatory requirements.
Identify and make recommendations for process improvements.
Identify and report systems and process issues to claims management team for action.
Support achievement of key performance indicators and service delivery requirements.
Other duties as assigned.