Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster
About The Position
The Claims Specialist works within a Claims Team and uses technology to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. The role involves making decisions about liability and compensability, evaluating losses, and negotiating settlements. The Claims Specialist interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims process. Training is provided with an emphasis on developing skills to deliver exceptional customer service. The role is hybrid. Employees who live within 50 miles of a listed office are required to work in the office twice a month. Listed offices are Boston, Westborough, Hoffman Estates, Weatogue, Indianapolis, Plano, Suwanee, Lake Oswego, Las Vegas, and Chandler. This policy may change.
Requirements
- Bachelor of Science or Bachelor of Arts degree, or equivalent work experience.
- At least 2 years of experience in claims adjustment, general insurance, or formal claims training.
- Obtain and maintain all applicable licenses.
- Knowledge of claims investigation techniques, medical terminology, and legal aspects of claims.
Nice To Haves
- Continuing education courses leading to industry certifications, such as AEI, IIA, or CPCU.
Responsibilities
- Manage an inventory of claims and evaluate compensability and liability.
- Establish an action plan based on case facts, best practices, protocols, regulatory issues, and available resources.
- Plan and conduct investigations to confirm coverage and determine liability, compensability, and damages.
- Assess policy coverage for submitted claims and notify the insured of any issues.
- Determine and establish reserve requirements and adjust reserves as necessary during claim processing.
- Refer claims to the subrogation group or Special Investigations Unit when appropriate.
- Assess actual damages and negotiate settlements within assigned authority limits.
- Perform other duties as assigned.
Benefits
- Comprehensive benefits
- Workplace flexibility
- Professional development opportunities
- Employee Resource Groups
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
