Claims Specialist Jobs

About The Position

Requirements

• 3–5 years of casualty claims experience.
• Knowledge of legal and medical terminology.
• Excellent negotiation, communication, written, organizational, and interpersonal skills.
• Ability to pass written examinations where required by state statutes to become a licensed claims adjuster.
• Proficiency in Microsoft Office products.

Responsibilities

• Review each assigned file and determine a course of action using technical knowledge and experience to support final disposition of the loss.
• Conduct thorough investigations and maintain accurate, relevant documentation of claim activity, including coverage, liability status, and applicable damages.
• Process bodily injury and coverage claims in accordance with established office procedures.
• Work with third parties, plaintiff counsel, the Claim Director, and the Chief Operating Officer to determine necessary injury and coverage investigations.
• Research case and statutory law to conduct proper claim investigations.
• Document policy status, coverage, liability, and damages on all claims, and notify the reinsurer on qualifying claims.
• Prepare and present claim evaluations for the appropriate settlement authority.
• Maintain reasonable expense factors.
• Handle other duties as assigned.

Benefits

• Competitive salaries
• Training and development
• Medical and dental benefits
• Telemedicine benefit
• 401(k) with a company match
• Paid time off and paid holidays
• Tuition reimbursement training programs
• Wellness program
• Company-sponsored events