Job description
Duties And Responsibilities
- Review, process and conclude assigned claims including investigation and evaluation Non-Standard Personal Lines Auto Claims.
- Review and interpret policies, coverage determination.
- Oversee and direct outside investigative service providers.
- Maintain an ongoing diary.
- Continually assess exposure and evaluate for accurate reserves and settlement recommendation.
- Prepare Loss Reports providing thorough analysis of liability and damages.
- Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
- Document all correspondence, reports, discussions and decisions in the claim file record.
- Provide outstanding service to the client.
- Assist Supervisors and Claim Department with requested tasks or special projects.
- Other duties as assigned.
Qualifications for Claims Adjuster
- 2+ years prior experience in a similar role is strongly preferred
- Superior communication skills are essential for success in this role as you will be responsible for meeting with everyone from claimants to lawyers and witnesses
- Analytical thinking skills are needed in order to properly evaluate complex claims
- A strong attention to detail is necessary as claims adjusters must carefully review documents and policies
- Solid writing skills are an asset as you will be responsible for creating claim reports
- Skill and experience with negotiations
- Ability to speak a second language is an asset
- Sound computer skills or the ability to quickly learn new software
- A strong work ethic and time management skills in order to efficiently handle a large caseload
DO NOT APPLY unless you have Insurance Carrier or TPA (Third Party Claims Administrator) Insurance Auto Claims handling experience
Job Type: Full-time
Pay: $51,914.00 - $56,215.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- Monday to Friday
Work Location: Hybrid remote in Mission Viejo, CA 92691
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