Complex Claims Adjuster

CRC Group•Flower Mound, TX

1d•Onsite

About The Position

The Complex Claims Adjuster position involves processing claims by evaluating policy coverage, collaborating with insureds, outside adjusters, agents, and attorneys, and coordinating claim payments. This role also requires preparing reports such as loss runs and monthly bordereau. The position is regular, requires English fluency, and operates on a 1st Shift work schedule.

Requirements

High School Diploma
College degree or equivalent work experience
Claims Adjuster's license
Good organizational/time management skills
Ability to work under time constraints and meet deadlines
Strong verbal and written communications skills
Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment
Knowledge and use of correct spelling and grammar
Ability to write legibly
Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds
Ability to adhere to all organizational policies and procedures
Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
Ability to travel, occasionally overnight

Nice To Haves

Previous administrative support experience

Responsibilities

Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis.
Settle claims within settlement authority, where applicable.
Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally.
Attend mediations, when applicable and negotiate settlement within authority.
Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy.
Process incoming and outgoing claims and vendor payments.
Maintain loss fund.
Review and recommend policy wording changes.
Perform claim status requests and updates.
Prepare daily, weekly and monthly reports.
Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office.