Reservposted about 1 month ago
Senior
Remote • Atlanta, GA
Publishing Industries

About the position

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.

Responsibilities

  • Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
  • Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
  • Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
  • Coordinate the repair of damaged vehicles and assist with rental reimbursement
  • Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss
  • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
  • Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
  • Provide input for continuous development of claims guidelines, best practices, and process improvements
  • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim
  • Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications

Requirements

  • Bachelor's degree. JD, Professional insurance designations strongly preferred.
  • Minimum of 10 years of experience ideally with General Liability (Premise, Habitational, Auto, Garagekeepers, BOP's, Dwelling)
  • Experience with Construction Liability, Risk Transfer, Contractual Analysis, New York Labor Law
  • Experience with Employers Liability.
  • Experience with Liquor Liability/Dram Shop.
  • Experience with complex claims involving litigation.
  • Policy interpretation and drafting Reservation of Rights letters, coverage declinations.
  • Experience with third-party bodily injury and third-party litigated bodily injury/property damage.
  • Have active adjuster license(s) and be willing to obtain all licenses within 45 days, including completing state required testing
  • Knowledge of state regulations, policy provisions, and standard operating procedures
  • Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures
  • Curious and motivated by problem solving and questioning the status quo
  • Desire to engage in learning opportunities and continuous professional development
  • Willingness to travel for client and claims needs

Benefits

  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
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