PRS, Senior 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.