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Insurance Claims Adjuster
2 months ago
We are seeking an experienced Insurance Claims Adjuster to join our team in an Initial Action role. The successful candidate will be responsible for evaluating and processing insurance claims, assessing damage, determining liability, and negotiating settlements with policyholders or third parties.
Key Responsibilities- Conduct thorough investigations for low complexity insurance claims
- Collect relevant information, such as photographs, statements, police reports, and any other documentation necessary for assessment
- Review the extent of damage to vehicles or other insured items
- Utilize industry-standard tools and software to estimate repair costs and replacement values, as needed
- Review insurance policies to verify coverage, limitations, and exclusions
- Ensure that claims fall within the scope of the policy and comply with legal and regulatory requirements
- Analyze circumstances surrounding accidents or incidents to establish liability
- Complete appropriate documentation of all interactions, investigations, and assessments
- Communicate findings and decisions to policyholders, claimants, and other stakeholders in a professional and empathetic manner
- Negotiate fair and reasonable settlements with claimants or their representatives
- Ensure compliance with company policies, industry regulations, and legal requirements during the settlement process
- Provide excellent customer service by addressing inquiries, concerns, and providing regular updates to policyholders and claimants
- Work closely with other departments, such as underwriting and legal to ensure accurate and timely claims processing
- Stay updated on industry regulations and compliance standards
- Bachelor's degree in a relevant field (such as business, finance, or a related discipline) preferred
- Four years of prior experience in insurance or customer service accepted in lieu of degree
- Active adjusters license will be required
- Bilingual preferred (English/Spanish)
- 401(k) Retirement Savings Plan with employer match
- Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance
- Paid Time Off, Holidays, and Leave programs
- Flexible spending accounts
- Basic Life Insurance and Voluntary Life/ADD
- Voluntary Short Term and Long-Term Disability