Claims Medpay Adjuster

AAA • Lincoln, RI

3d • Onsite

About The Position

This position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and negotiation of low to moderate-complexity claims in compliance with established company technical and customer service Best Practices. Under general direction, works within specific limits of authority.

Requirements

• Bachelors Equivalent combination of education and experience
• 4-6 years Prior claims handling experience.
• 4-6 years Property or Casualty claims administration experience.
• Comprehensive knowledge of claims administration best practices and procedures.
• Moderate understanding of building and vehicle repair practices.
• Comprehensive knowledge of insurance, fault assessment, negligence and subrogation principles.
• Comprehensive knowledge of Microsoft Office suite, general computer software and claims software.
• Advanced organization and planning recognition skills required.
• Advanced oral and written communication skills required.
• Advanced interpersonal skills required.
• Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
• An insurance/claims adjuster license may be required for claims administration in specific states.

Nice To Haves

• Comprehensive knowledge of claims administration best practices and procedures.
• Moderate understanding of building and vehicle repair practices.

Responsibilities

• Communicate and interact with a variety of individuals including insureds and claimants.
• Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
• Recognize and appropriately address common coverage issues.
• Conduct phone investigations to determine liability and damages.
• Identify and obtain statements from insureds, claimants and witnesses.
• Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability.
• Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
• Negotiate within settlement authority with insureds and claimants to resolve their first and third party claims.
• Handle administrative functions, update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
• Coordinate with internal and external departments as required.
• May attend and participate in legal proceedings.
• Respond quickly to customer needs and problems.

Benefits

• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance, travel, entertainment, services and more!)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level