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Auto Claims Adjuster
2 months ago
We are seeking a highly skilled and detail-oriented Auto Claims Representative to join our team at PeopleShare. As a key member of our insurance team, you will be responsible for handling auto claims, verifying coverage, and determining the course of action.
Key Responsibilities- Receive and process assigned claims, verifying coverage and confirming eligibility.
- Conduct thorough investigations through telephone and written correspondence with subscribers, attorneys, witnesses, and other relevant parties.
- Analyze information obtained during investigations to evaluate claims, determine PIP eligibility, and assess the extent of injuries and claim exposure.
- Establish and maintain proper reserves for exposure.
- Assign medical case managers or experts to cases when necessary and arrange for independent medical examinations to determine medical necessity and causal relationship of treatment.
- Handle incoming calls and correspondence from subscribers, claimants, attorneys, and providers regarding questions or problems associated with a claims.
- Document claim files and maintain a diary system for reporting and claim follow-up.
- Work closely with the Special Investigation Unit, Underwriting Department, attorneys, and other members of the Claim Department.
- Manage allocated loss adjustment expense and direct the activities of vendors to ensure only necessary work is completed.
- Comply with all conditions outlined in the Unfair Claim Practices Acts.
- Bachelor's degree or commensurate experience in the insurance industry.
- A minimum of 2 years PIP claim handling experience or commensurate medical experience. Litigation experience is a plus.
- Licenses/Designations: Property and Casualty license a plus.
- Specific Skills: Ability to analyze coverages, liability, and damages. Strong technical knowledge of statutes and regulations governing personal injury protection claims. Working practical knowledge of litigation from assignment to discovery and trial.
- Other Required or Preferred Qualifications: Detail-oriented with strong written and verbal communication skills. Ability to work independently and possess strong interpersonal skills necessary to contribute as a team player.