Liability Claims Representative | Dedicated Client | PD/1st Party Auto | East Coast Jurisdiction | Licensing preferred
About The Position
The Liability Claims Representative processes low-level property damage and first-party auto liability claims to determine benefits due, ensure ongoing adjudication within company standards and industry best practices, identify subrogation opportunities, and negotiate settlements with general supervision. The role is dedicated to a client and covers East Coast jurisdictions, specifically New Jersey, Pennsylvania, and Florida. The position is hybrid with two days in the office for employees within commuting distance of the Marlton, New Jersey office, and remote for employees outside commuting distance. The role involves gathering information to assess liability exposure, assigning reserves, making payments, coordinating claims action plans through resolution, documenting files, communicating with claimants and clients, and maintaining professional client relationships.
Requirements
- High school diploma or GED required.
- Two years of claims management experience or an equivalent combination of education and experience required.
- East Coast jurisdiction knowledge covering New Jersey, Pennsylvania, and Florida.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification applicable to the line of business.
- Home-state licensing.
Responsibilities
- Process low-level claims by gathering information to determine liability exposure.
- Assign reserve values, make claims payments as necessary, and settle claims up to the designated authority level.
- Develop and coordinate claims action plans through resolution, return-to-work efforts, and approval of claim payments.
- Approve and process assigned claims, determine benefits due, and administer action plans pursuant to the claim or client contract.
- Administer subrogation of claims and negotiate settlements.
- Communicate claim actions with claimants and clients.
- Ensure claim files are properly documented and claims coding is correct.
- May process low-level lifetime medical and/or defined-period medical claims, including state and physician filings and decisions on treatments recommended by utilization review.
- Maintain professional client relationships.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
