Sr Claims Adjuster

3 days ago

Fort Wayne, United States Brotherhood Mutual Full time
Job Title: Sr Claims Adjuster

FLSA Status: Exempt

Job Family: Claims

Department: Work Comp Claims

Location: In-Office (Fort Wayne, IN)

JOB SUMMARY

Responsible for effectively analyzing and resolving assigned serious/complex claims consistent with claims department standards and company objectives.

POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Resolve primarily serious/complex, (including but not limited to claims involving unusual damage or coverage issues or need to involve expert analysis or that require early recognition of policyholder concerns), claims within established settlement authority in a prompt, fair and equitable manner. Identify and investigate coverage, damage, and reserve adequacy on assigned claims.
  • Apply statutes, common law, and other applicable legal and regulatory concepts for the effective, efficient and equitable resolution of assigned claims.
  • Achieves established claim file audit objectives.
  • Communicate with policyholders, agents, claimants, attorneys, medical providers and other persons as needed and direct independent adjusters, appraisers and other support service providers to ensure effective, efficient, and equitable claims resolution.
  • Acquire, record and maintain all essential file documentation in accordance with established guidelines.
  • Provide timely status reports regarding assigned claims to department management and others.
  • Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery opportunities.
  • Participate and provide input in departmental meetings or interdepartmental meetings, projects or processes that relate to the claims function.
  • Travel as needed to attend training programs, conferences, mediations/other legal proceedings, and to conduct investigation relating to claims resolution.
  • Further the attainment of overall department objectives by assisting other claims personnel as needed.
  • Participate as needed in the orientation or training of new department personnel.
  • Assist in the setting of initial reserves as needed.
  • Complete other projects as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES

The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Must be able to effectively communicate with others (both oral and written). Must be able to communicate complex coverage and legal concepts in both an oral and written format.
  • Must be able to make independent decisions.
  • Must have strong organizational and interpersonal skills.
  • Must have the ability to handle confrontational situations in a productive manner. Must possess strong negotiation skills and utilize them in the resolution of serious/complex claims.
  • Must have a thorough understanding of all issues related to claims. Must have a thorough understanding of coverage.
  • Must be able to access, input and retrieve information from a computer. Must have a thorough understanding of all automated claims department processing systems and workflows.
  • Must be able to train others on claims department policies, procedures and systems.
  • Should be able to sit for prolonged periods of time. Should have the ability to inspect losses by walking, lifting, climbing or bending.
  • Effectively interface with external contacts, Brotherhood employees, managers, and department staff members.
EDUCATION AND/OR EXPERIENCE
  • Bachelor's degree required.
  • Must be able to take and pass mandatory adjuster licensing requirements.
  • Must have five or more years of claim technical experience.
  • CPCU designation strongly desired.
  • Seven years or more of Brotherhood Mutual claims technical experience is desired.


Terms and Conditions

This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

Because the company's niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche.

Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The employment relationship remains "at-will".

  • Sr Claims Adjuster

    1 month ago

    Fort Wayne, United States Brotherhood Mutual Full time

    ** Sr Claims Adjuster - Property** **Job Category****:** Claims **Requisition Number****:** SRCLA001305 Showing 1 location **Job Details** **Description** Job Title: Sr Claims Adjuster - Property FLSA Status: Exempt Job Family: Claims Department: Claims JOB SUMMARY Responsible for effectively analyzing and resolving assigned serious/complex claims...

  • Sr Claims Adjuster

    1 month ago

    Fort Wayne, United States Brotherhood Mutual Full time

    Job Title: Sr. Claims Adjuster FLSA Status: Exempt Job Family: Claims Department: Casualty Claims Location: Home Office (Fort Wayne, IN) Remote: Only available if living outside of Northeast Indiana JOB SUMMARY Responsible for effectively analyzing and resolving assigned serious/complex claims consistent with claims department standards and company...

  • Claims Adjuster

    3 weeks ago

    Fort Washington, United States SEVERE STORM PRO LLC Full time

    Benefits/Perks: Competitive Pay Professional Development Job Stability in a Growing Industry Job Summary: We are seeking a professional and knowledgeable Claims Adjuster to join our team. In this role, you will examine property damage, process claim reports, and negotiate payments. You will interview relevant parties and gather information to assist you in...

  • Public Adjuster Apprentice

    4 weeks ago

    Fort Lauderdale, United States Insurance Claims Solutions Full time

    Job DescriptionJob DescriptionWe are looking for an enthusiastic, go getter who recently completed the 620 All line adjuster course and has received their apprentice licenseWe are a small company expanding company looking for team members to grow with us.  Company DescriptionWe are a Public Adjusting firm that represents insured homeowners and business...

  • Claims Expediter

    1 month ago

    Fort Wayne, United States Brotherhood Mutual Insurance Company Full time

    **Job Title**: Claims Expediter **FLSA Status**: Non-Exempt **Job Family**: Claims **Department**: Claims - Clerical **Location**: On-Site (Fort Wayne, IN) **JOB SUMMARY** Responsible for courteously and effectively being the first contact point for agents, policyholders, claimants, vendors and others that are communicating with the claims department....

  • Claims Attorney

    2 weeks ago

    Fort Wayne, United States Brotherhood Mutual Insurance Company Full time

    **Job Title**: Claims Attorney **FLSA Status**: Exempt **Job Family**: Claims **Department**: Casualty Claims **Location**: On-site (Fort Wayne, IN) **JOB SUMMARY** Effectively analyze and resolve serious/complex claims and/or litigation consistent with department standards and company objectives. Responsible to advise claims and other company...

  • Claims Expediter

    4 weeks ago

    Fort Wayne, United States Brotherhood Mutual Full time

    Job Title: Claims Expediter FLSA Status: Non-Exempt Job Family: Claims Department: Claims - Clerical Location: On-Site (Fort Wayne, IN) JOB SUMMARY Responsible for courteously and effectively being the first contact point for agents, policyholders, claimants, vendors and others that are communicating with the claims department. In...

  • Claims Expediter

    3 weeks ago

    Fort Wayne, United States Brotherhood Mutual Full time

    Job Title: Claims Expediter FLSA Status: Non-Exempt Job Family: Claims Department: Claims - Clerical Location: On-Site (Fort Wayne, IN) JOB SUMMARY Responsible for courteously and effectively being the first contact point for agents, policyholders, claimants, vendors and others that are communicating with the claims department. In...

  • Field Adjuster

    1 month ago

    Fort Wayne, United States CCMS & Associates Full time

    Job DescriptionJob DescriptionCCMS & Associates is looking for a 1099 Field Adjuster in Indiana, specifically the Fort Wayne area. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team!We are seeking a residential or commercial field adjuster with at least 1 year of field...

  • Claims Examiner- Speciality Claims

    3 weeks ago

    Wayne, United States USLI Full time

    The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers on going challenges, even for the most...

  • Bilingual Senior Claims Adjuster

    1 month ago

    Fort Lauderdale, United States Responsive Auto Insurance Company Full time

    Job Type Full-time Description About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We partner with thousands of agents representing the industry's best and most respected insurance agencies to deliver a top-notch service and claims experience. Our customers agree:...

  • Claims Examiner or Associate Claims Examiner

    1 month ago

    Wayne, United States USLI Full time

    The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers on going challenges, even for the most...

  • Claims Examiner

    2 weeks ago

    Fort Wayne, Indiana, United States Aon Full time

    Posting Description: Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events. As a Claims Examiner, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance. The Claims...

  • Claims Examiner- Property

    3 weeks ago

    Wayne, United States USLI Full time

    The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers on going challenges, even for the most...

  • Claims Examiner

    2 weeks ago

    Wayne, United States USLI Full time

    **Claims Examiner - Liability Claims** The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers...

  • Senior Marine Claims Adjuster

    1 month ago

    Fort Worth, United States UPS Full time

    Before you apply to a job, select your language preference from the options available at the top right of this page. Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into...

  • Claims Examiner

    2 weeks ago

    Fort Wayne, Indiana, United States Aon Corporation Full time

    Posting Description:Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events. As a Claims Examiner, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance.The Claims...

  • Claims Examiner or Associate Claims Examiner-Employment Practices

    1 month ago

    Wayne, United States USLI Full time

    The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers on going challenges, even for the most...

  • Field Adjuster

    1 month ago

    Fort Myers, United States Heritage Insurance Full time

    Field Adjuster This role is open in Lee County, Orange County, Brevard County and Collier County. Job Summary: Analyzes and reviews claims for accuracy, completeness and eligibility. Resolves claims by investigating losses, calculating and negotiating settlements. Prepares and maintains reports and records for processing. Investigates, evaluates,...

  • Claims Examiner- Employment Practices

    3 weeks ago

    Wayne, United States USLI Full time

    The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers on going challenges, even for the most...