Auto Claims Examiner

POSITION RESPONSIBILITIES

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• Analyze first reports and promptly contact insured/claimants.
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• Effectively evaluate contract language and identify coverage issues.
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• Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.
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• Maintain an active file diary to move file toward resolution.
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• Establish accurate and timely reserves.
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• Recognize and pursue recovery.
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• Adhere to all statutory and regulatory fair claims practices.
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• Recognize and identify potential fraudulent claims.
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• Effectively manage the use, work product and expenses of outside vendors.
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• Effectively evaluate claim facts and negotiate claim settlements.
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• Develop and maintain strong business relationships with internal and external customers.
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• Serve as a technical resource to lesser experienced Adjusters on the team.
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• Successfully contribute to the development and delivery of the team’s goals, objectives and results.
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• Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.

KNOWLEDGE, SKILLS & ABILITIES

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• Full knowledge of insurance contracts, investigation techniques, legal requirements and insurance regulations.
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• Ability to work effectively in teams and with a wide variety of people.
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• An aptitude for evaluating, analyzing, and interpreting information.

Excellent skills in the areas of

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• Customer service
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• Investigation techniques
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Organization

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• Time management and the ability to multi-task
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• Verbal and written communication
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• Negotiation and reserving
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• Innovative thinking
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• Current Claims Adjuster licenses in one or more states preferred but must be willing to obtain additional state licensures.

EXPERIENCE & EDUCATION

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• Bachelor’s Degree or equivalent experience required.