Duration: 06 months (Possible extension)
Job
Description:
· Must Have Active New York Adjusters License
Responsibilities:
· Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
· Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
· Resolve complex, severe exposure claims, using high service-oriented file handling.
· Pay and process claims within designated authority level.
· Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
· Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
· Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
· Confer with legal counsel on claims requiring litigation.
· Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
· Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
Experience:
NA
Skills:
· Licensing requirements vary by state: Active New York state adjuster's license required; multiple state licenses encouraged.
· Proficiency in analytical, document management, and database query software.
· Proficiency in Microsoft Office applications.
· Two to four years of work-related experience.
· Exceptional attention to detail.
· Excellent customer service and communication skills.
· General knowledge of state and national laws and regulations.
· General understanding of medical and legal terms.
· Experience in a claims production environment with set goals and quality scores that must be obtained.
Education:
High school diploma or bachelor’s degree
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