Claims Resolution Specialist

2 weeks ago

Atlanta, Georgia, United States Reserv Full time
Job Overview

About Reserv
Reserv is an innovative insurtech firm dedicated to developing and implementing advanced AI and automation solutions aimed at enhancing efficiency and simplicity in the claims process. Established by industry veterans with extensive experience in SaaS and digital claims, we are supported by prominent investors and have been operational since May 2022. Our mission is to automate labor-intensive tasks to address persistent challenges in claims management and to redefine standards for TPAs, insurance technology providers, and adjusters.

Position Summary
We are looking for detail-oriented and customer-centric Claims Resolution Specialists. The successful candidate will engage with clients via phone, providing education and guidance to navigate their claims towards optimal resolutions. Responsibilities include managing a portfolio of claims, prioritizing urgent cases, and ensuring exceptional service delivery to all parties involved in the claims process. The claims managed will primarily involve transportation-related incidents.

Key Attributes of a Resolution Specialist:

  • Driven and growth-focused, enthusiastic about contributing to a tech-forward claims organization.
  • Dedicated professionals who prioritize customer satisfaction and experience.
  • Empathetic communicators who demonstrate patience and understanding in all interactions.
  • Possess a strong sense of urgency while maintaining a balanced work approach.
  • Innovative thinkers who seek effective solutions that serve the client's best interests.
  • Enjoy engaging in constructive dialogue to achieve mutually beneficial claim resolutions.
  • Inquisitive individuals eager to understand the full context to make informed decisions promptly.
  • Proactive in challenging the status quo and implementing meaningful changes.
  • Effective communicators, both written and verbal, with all stakeholders involved in a claim.
  • Bring a sense of humor to the challenging nature of claims work.

Responsibilities Include:

  • Delivering prompt, courteous, and high-quality service to policyholders and claimants through various communication channels.
  • Collecting essential information from clients to initiate claims and explaining policy details, coverage, and the claims process.
  • Managing a claims inventory, establishing initial reserves for potential exposures, and adjusting as necessary throughout the claim lifecycle.
  • Collaborating with the APD team on property damage claims.
  • Identifying recovery opportunities related to subrogation and salvage, as well as total loss scenarios.
  • Ensuring adherence to relevant state regulations, policy provisions, and operational procedures.
  • Negotiating settlements with claimants, insured parties, and legal representatives within authorized limits.
  • Contributing to the ongoing development of claims guidelines, best practices, and process enhancements.
  • Maintaining comprehensive knowledge of claims and guiding external service providers to facilitate swift and appropriate resolutions.
  • Engaging in continuous learning to stay updated on claims statutes, recent court decisions, and internal policy changes.

Qualifications:

  • Bachelor's degree preferred; however, candidates with relevant experience are encouraged to apply.
  • A minimum of 3 years of focused experience in transportation claims adjusting, ideally encompassing:
    • Third-party property damage
    • Third-party bodily injury, including catastrophic cases
    • UM/UIM bodily injury
    • Litigation experience
    • PIP knowledge is advantageous but not mandatory
  • Possession of active adjuster licenses and willingness to obtain any additional licenses within a specified timeframe.
  • Familiarity with state regulations, policy provisions, and standard operating procedures.
  • Willingness to travel as required for client and claims needs.

Benefits:

  • Comprehensive health insurance with nationwide coverage, including vision and dental.
  • 401(k) retirement plan with employer matching contributions.
  • Generous paid time off policy to promote employee well-being and work-life balance.
  • Supportive family leave policy.
  • Flexible work arrangements to enhance work-life integration.
  • Provision of necessary technology, including an Apple laptop and additional equipment to facilitate a productive work environment.

Our Commitment:
At Reserv, we embrace diversity and believe that a range of perspectives fosters innovation and success. We are actively seeking candidates who can bring unique viewpoints and experiences to our organization and welcome applicants from all backgrounds.

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