Using claims systems to accurately document files, this role manages a diary and handles first and third party auto claims promptly, proactively and with a sense of urgency. May be responsible for handling attorney represented first and third party claims, and cases involving serious injury or complicated investigations. Through training, continuously improves skills applicable to including but not limited to claims investigation, liability determination, coverage confirmation, establishing damages, evaluating bodily injury damages and negotiation of claims settlement. Adjusts highly complex claims through professional, interpersonal interactions with key stakeholders. This may include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, members of the medical profession and all other persons incident to the investigation and processing of claims. Conducts thorough investigation on assigned claims, confirms coverage, determines liability, identifies subrogation rights, establishes damages, reports status, and negotiates settlement. Has elevated authority to make payment of assigned claims within prescribed limits. Prepares for arbitration as needed. Inspects damaged property and vehicles, and determines claims related damage. Estimates the cost of repair or replacement of damaged or stolen property and vehicles. Determines and reports on subrogation potential. May initiate the sale of salvage vehicles, personal property, and miscellaneous salvage items. Evaluates bodily injury claims. Reports theft, fraud, and arson losses as required to state and industry agencies. Maintains job knowledge through intermittent training/learning and incorporates new information into daily tasks. Including training in claims investigation, liability determination, coverage confirmation, establishing damages, and negotiation of claims settlement. Mentors and supports peers as needed. Performs other duties as assigned.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
101-250 employees