Auto Senior Claims Examiner

2 weeks ago


phoenix, United States Eames Consulting Full time

POSITION RESPONSIBILITIES:

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


KNOWLEDGE, SKILLS & ABILITIES:

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

Excellent skills in the areas of:

  • Customer service
  • Investigation techniques
  • Organization
  • Time management and the ability to multi-task
  • Verbal and written communication
  • Negotiation and reserving
  • Innovative thinking

Current Claims Adjuster licenses in one or more states preferred but must be willing to obtain additional state licensures.


EXPERIENCE & EDUCATION:

  • Bachelor’s Degree or equivalent experience required.



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