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Claims Adjuster
2 months ago
- Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
- Contacts, interviews, and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
- Depending on the line of business may inspect and appraise damage for property losses or arranges for such appraisal.
- Evaluate facts supplied by investigation to determine the extent of liability of the insured, if any, and extend the company’s obligation to the insured under the policy contract.
- Prepares reports on investigations, settlements, denials of claims, individual evaluation of involved parties, etc.
- Review progress and status of claims with the Team Leader discuss problems and suggest remedial actions.
- Prepares and submits to the Team Leader unusual or possible undesirable exposures.
- Assists Team Leader in developing methods and improvements for handling claims.
- Settles claims promptly and equitably.
- Obtains releases, and proofs of loss or compensation agreements and issues company drafts in payments for claims.
- Informs claimants, insureds/customers, or attorneys of denial of claim when applicable.
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