Claims Specialist

Overview This position provides professional claims adjusting services for complex bodily injury and property damage claims, while ensuring all claims are handled in compliance with industry best practices, fair claims practice standards, and company expectations and policies. Key Responsibilities Communicating with Stakeholders - Routinely communicate claim activity and actively participate in regularly scheduled unit meetings and department meetings. Work toward and achieve team objectives. Develop and recommend solutions to claims above designated authority. Investigating Claims - Investigate potential claim exposure to include gathering relevant documents, obtaining statements as necessary and any other information deemed necessary to determine liability. Reviewing and analyzing medical records and medical bills to determine customer injuries and related treatment. Evaluating claims for third party involvement. Reviewing and Processing Claims - Responsible for ~150 complex bodily injury, and property damage claims, based on assignment and jurisdiction. Represent the company when engaging with customers, counsel and third parties to process claims and negotiate settlements within designated authority. Direct Manager/Direct Reports This Position typically reports to the Claims Manager or Sr. Claims Manager This Position has 0 Direct Reports Travel Requirements Typically requires overnight travel less than 5% of the time. Physical Requirements Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions, there may be a need to move or lift light articles. Working Conditions Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable. Minimum Qualifications Must be 18 years of age or older Must be legally permitted to work in the United States The knowledge, skills and abilities typically acquired through the complete of an associate’s degree program or equivalent degree in a field of study related to the job. Adjusters license appliable to jurisdiction and line of business Preferred Qualifications Working knowledge of Microsoft Office Suite Working knowledge of presentation software (e.g., Microsoft PowerPoint) Bodily injury claims experience in multiple states Risk Management and Insurance degree preferred Property Causality license The knowledge, skills and abilities typically acquired through the completion of an associate's degree program or equivalent degree in a field of study related to the job. Preferred Education The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job. Minimum Years of Work Experience 3 Preferred Years of Work Experience 3 None Preferred Leadership Experience None Certifications None Action Oriented Drives Engagement Communicates Effectively Customer Focus Drives Results Manages Conflict Excellent organizational skills Ability to think critically and utilize good judgment to resolve complex problems Internal and external communication skills Ability to work under pressure and prioritize tasks High level of basic computer skills (MS Excel, MS PowerPoint, MS Word, advanced web browsing skills) Seniority level Associate Employment type Full-time Job function Legal Industries Retail #J-18808-Ljbffr