About The Position

This job is responsible for investigating complex, represented claims which typically will include: uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents, and represented moderate or major claims. The individual also may handle complex CPL claims or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved. This position is for our Represented Litigation Casualty office with a focus on handling UM/UIM claims in the states of TX, CA, and UT.

Requirements

  • 3+ years experience in liability investigations, bodily injury claim evaluations, and negotiation
  • Casualty UM/UIM claim handling experience
  • Previous experience in bodily injury claims handling or a related field
  • Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately.
  • Ability to work independently and remotely, while managing time efficiently
  • Familiarity with insurance policies, coverage, and liability determination
  • Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully
  • Knowledge of innovative tools and platforms for effective claims evaluation
  • A home office – a dedicated workspace in your residence that is private and free from distractions.
  • A minimum internet bandwidth of 50 MB down/5 MB up.
  • Appropriate work surface and seating.

Responsibilities

  • Investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage.
  • Use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process.
  • Incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
  • Evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies.
  • Incorporate tactics in handling challenging and complex situations with negotiations.
  • Utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
  • Protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on.
  • Ensure timely and accurate documentation is completed as you work on each claim.

Benefits

  • Competitive pay with needed support for continuous development and career advancement.
  • Flexibility in scheduling and a time off policy that helps support your work/life balance.
  • Initial and ongoing training to get you proficient in your new role.
  • Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life.
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