Claims Examiner

Company:
ClaimsPro LP - International Programs Group

Claims Examiner - Liability, Remote (Little Rock, AK, USA)

Overview

Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling liability and first party claims and third-party claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines.

IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability.

Job Responsibilities:

- Initiate the investigation of new claims
- Make liability/coverage decisions
- Evaluate and negotiate settlements of collision, specified perils, property damage, and liability losses as appropriate.
- Manage and oversee the work of outside adjusters, appraisers and experts.
- Establish contact with the insured and claimant within established protocol.
- Recognize coverage issues and bring them to the attention of the supervisor.
- Develop basic understanding of liability and coverage principles.
- Recognize state specific laws and claims regulations throughout the United States to insure proper compliance in claims investigation including sending and securing proper documentation.
- Complete research to determine market value on automobiles and heavy equipment to make recommendations on total loss settlement values using proper state valuation methods.
- Summarize and make recommendations for disposition of claims in excess of the individual settlement authority.
- Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints.
- Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines.
- Maintain state license by completing continuing education coursework and/or work towards a claims designation.
- Handle small claim suits as needed.
- Other duties as assigned by the claims supervisor
- Duties may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing.

Qualifications:
Education and/or Experience
- High School Diploma or Equivalent required
- Bachelor’s degree is preferred
- Experience with Lloyd’s of London is considered an asset

Computer Skills
- Proficient in Microsoft Office
- Experience with Xactimate

Certificates, Licenses, Registrations
- Able to be licensed in states, countries where necessary
- AIC designation preferred

Competencies
- Use of clear, rational, thinking supported by evidence to audit fees of independent adjusters, appraisers, and other vendors in order to properly manage and pay expense invoices.
- Strong writing skills and proper use of grammar to prepare written status reports for the principal. Document claim file notes clearly with all communications and activities that occur during of handling the claim using factual and objective information.
- Ability to plan and exercise conscious control over the amount of time spent on specific activities.
- Strong Communicator (verbal and written)
- Ability to multi-task and handle high volume of concurrent tasks
- Work collaboratively with others inside and outside the company

Environment/Working Conditions:

- Dynamic environment with tight deadlines, number and changing priorities
- All prospective employees must pass a background check
- Office environment including prolonged periods of computer use
- Location: Remote working but may require some travel to home office, etc.

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