Future Medical Claims Examiner | Brea, CA

Commercial Property Claims Desk Adjuster - Remote after training

Telecommuter TX
✓ Verified live on the employer's own system · added 35 days ago
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Mid-level · 3+ yrs exp

Requirements

Education: Bachelor's degree

Experience: 3+ years

Skills & tools

HiringLitigationCase ManagementCommunicationsMS OfficeTroubleshootingFinancial AnalysisManagement
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Full job description

- Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. - Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. - Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. - Estimates cost of repair, replacement, or compensation. - Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information.

Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable. - Recommends litigation by legal department when settlement cannot be negotiated. - Attends litigation hearings and participates in depositions as necessary. - Revises case reserves in assigned claims files to cover probable costs. - Maintains an expected caseload efficiently. - Utilizes technology and automation tools for efficient claim handling.

Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required.

Experience Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required.

- Empathetic claims handling demeanor - Strong communication, analytical, organizational, and interpersonal skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - Negotiating skills - Ability to create and complete comprehensive, accurate and constructive written reports - Ability to work in a team environment - Ability to meet or exceed Performance Competencies

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

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This posting was published by Future Medical Claims Examiner | Brea, CA on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.