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Claims Adjuster

Claims adjuster is a term used to describe someone who evaluates the damage caused to property or people when an insurance related accident occurs.

An adjuster will frequently verify that coverage applies through an insurance policy, investigate liability for the damages caused, and make restitution to the injured person based on their physical, emotional, or physical property damages.

Please click on the position to view a description of the job and the requirements. To apply for a position with us, please fill out our Job Application Form

BI/UM Adjuster handles first reports of bodily injury claims. Investigates coverage, liability and damages and evaluates claimed injuries. Obtains police reports, copies of insurance policies and medical/hospital reports and takes recorded statements.

EDUCATION:
  • High school diploma plus at least 2-3 years related work experience, preferably with BI claims.
  • Associate's or Bachelor's degree preferred.
  • 620 or 520 license required.
SKILLS & EXPERIENCE:
  • Proficient in Word, Excel, Windows-based applications and internet usage.
  • Must be familiar with forms, procedures, regulations, coverage's and business processes.
  • Must be able to exercise good judgment and state opinions assertively.
  • Must be able to write and speak clearly and concisely.
  • Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
  • Must illustrate analytical skills to identify, gather and organize information.
  • Must be able to work independently in a team environment.

Evaluates, negotiates and resolves BI litigation claims. Reviews bodily injury suits and works closely with attorneys on claim settlements. Effects settlements within prescribed limits and submits recommendations to supervisor on cases exceeding personal settlement authority.

EDUCATION:
  • High school diploma plus a minimum of 5 years of related work experience, preferably with BI litigation claims.
  • Associate's or Bachelor's degree preferred.
  • 620 or 520 license required.
SKILLS & EXPERIENCE:
  • Proficient in Word, Excel, Windows-based applications and internet usage.
  • Must be familiar with filing motions, forms, procedures, regulations, coverage's and business processes.
  • Must be able to exercise good judgment and state opinions assertively.
  • Must be able to write and speak clearly and concisely.
  • Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
  • Must illustrate analytical skills to identify, gather and organize information.
  • Must be able to work independently in a team environment.

Handles, negotiates and resolves first and third party liability and property damage claims to conclusion, including coverage verification, policy interpretation, liability investigation and evaluation of personal auto claims.

EDUCATION:
  • High school diploma plus at least 2-3 years related work experience, preferably handling property damage claims.
  • Associate's or Bachelor's degree preferred.
  • 620 or 520 license required.
SKILLS & EXPERIENCE:
  • Proficient in Word, Excel, Windows-based applications and internet usage.
  • Must be familiar with forms, procedures, regulations, laws, coverage's and business processes.
  • Must be able to exercise good judgment and state opinions assertively affirmatively.
  • Must be able to write and speak clearly and concisely.
  • Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
  • Must illustrate analytical skills to identify, gather and organize information.
  • Must be able to work independently in a team environment.

Investigates and evaluates PIP claims for compensability and processes payments based on the application of current laws and policy coverage. Obtains police reports, copies of insurance policies and medical/hospital reports and takes recorded statements.

EDUCATION:
  • High school diploma plus at least 2-3 years related work experience, preferably handling personal injury or medical claims.
  • Associate's or Bachelor's degree preferred.
  • 620 or 520 license required.
SKILLS & EXPERIENCE:
  • Proficient in Word, Excel, Windows-based applications and internet usage.
  • Must be familiar with forms, procedures, regulations, coverage's and business processes.
  • Must be able to exercise good judgment and state opinions assertively.
  • Must be able to write and speak clearly and concisely.
  • Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
  • Must illustrate analytical skills to identify, gather and organize information.
  • Must be able to work independently in a team environment.

CSR Representative coordinates day-to-day service and administrative requirements by effectively assessing customer concerns, networking with the appropriate resources and providing creative solutions to customer needs. Candidate demonstrates the ability to communicate superior problem solving and issue resolution skills. Understands customers' requirements and maintains up-to-date familiarity with products/services.

EDUCATION:
  • High school diploma plus minimum one year experience as a Customer Service Rep, preferably in the insurance industry.
  • 220 license helpful.
SKILLS & EXPERIENCE:
  • Proficient in Word, Excel, Windows-based applications and internet usage.
  • Must be familiar with forms, procedures, regulations, coverage's and business processes for assigned programs.
  • Must be able to exercise good judgment and state opinions assertively.
  • Must be able to write and speak clearly and concisely and explain the same ideas to people at many different levels, delivering messages in a positive manner.
  • Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
  • Must illustrate analytical skills to identify, gather and organize information.
  • Must be able to work independently in a team environment.
  • Must be able to perform accurate data entry.

Candidate provides quality and timely support for all assigned underwriting activities, including compilation, sorting, interpretation and verification of data.

EDUCATION:
  • High school diploma, plus a minimum of 6 months data entry experience.
SKILLS & EXPERIENCE:
  • Computer experience including data entry.
  • Knowledge of Word, Excel, Windows-based applications and internet usage.
  • Must have excellent proofreading and grammar skills.
  • Must be able to research and analyze data and handle large volumes of paperwork.
  • Must be able to meet stringent deadlines.

Candidate Interviews insured's in order to obtain necessary information to assist claims adjusters in the investigation of a claim, while looking for questionable circumstances and inconsistencies. Forwards completed information to the Special Investigations Unit (SIU).

EDUCATION:
  • High school diploma, plus at least one (1) year prior EUO experience, or equivalent combination of education and experience.
SKILLS & EXPERIENCE:
  • Knowledge of computer applications; familiarity with AS-400 applications a plus.
  • Must possess strong interpersonal skills, be detail-oriented and have the ability to prioritize and manage a large workload.
  • Must be able to write and speak clearly and concisely.
  • Must be able to follow through on assignments with minimal supervision and work independently as well as part of a team.