Liability Adjuster

4 weeks ago

Florence, United States Capstone ISG Inc Full time
Job DescriptionJob DescriptionDescription:

Capstone ISG Inc. was founded in 2003 and is dedicated to providing accurate and high-quality claims services to insurance companies, government, and the Lloyds market. With a goal to become the nation's top adjusting company, Capstone is expanding nationwide and looking for a talented Liability Adjuster to join their team in South Carolina. Capstone values quality, consistency, and experience as they continue to grow and serve their clients with the best technology and customer service.


Location Based Remote Position - Must be located in the State of South Carolina - Minimum of 2 years Experience Preferred


Primary Responsibilities:

  • Handles straightforward liability claims for personal lines and commercial lines policies.
  • Assists team with completing follow up tasks on files, as needed.
  • Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable statutes and case law. Coverage interpretation will be for personal and commercial lines policies.
  • Possesses the ability to research and understand multi-jurisdictional claims handling issues.
  • Conducts interviews of all involved parties as requested by client. Interviews will be done by telephone or in-person. Statements may be recorded or written.
  • Completes investigations by obtaining and reviewing police and other official reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage.
  • Shows appropriate attempts in establishing initial contact. Maintains current follow ups in all files.
  • Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication.
  • Records time and expense charges to clients.
  • Manages expected caseload.
  • Obtains proper medical documentation to evaluate injury claims.
  • Analyzes and negotiates injury claims within assigned levels of authority under the direction of the Claims Manager.
  • Prepares settlement letters, coverage and liability denial letters, Reservation of Rights letters and other letters as needed.
  • Secures/maintains appropriate state adjuster licenses, continuing education requirements and certifications.
Requirements:


  • Requires a high school diploma; advanced education beyond high school preferred or an equivalent combination of education and experience.
  • Previous experience as a claims adjuster or must complete Capstone specified adjuster training if no experience.
  • Must be licensed, or have the ability to obtain license(s), as required by state and local jurisdictions to adjust insurance claims.
  • Must have a valid driver’s license

Skills and Competencies:

  • Ability to work in a high volume, fast paced environment managing multiple tasks.
  • Ability to provide excellent service to policyholders and clients.
  • Ability to efficiently operate a computer and related claims and business software.
  • Effective analytical and problem-solving skills necessary to make decisions and resolve conflict
  • Good verbal and written communication skills.
  • Good attention to detail.
  • Strong analytical ability.
  • Ability to work independently in a virtual environment when required.
  • Excellent organizational and time management skills.
  • Possesses a high level of investigation, analysis, evaluation and negotiation skills.

Physical Demand Requirements:

The physical requirements associated with the position are limited. Repetitive tasks are associated with typing, filing, data entry, telephonic communication, and general clerical duties. While performing the duties of this position, auto travel is required.

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