Claims Representative

2 weeks ago

Denver, United States Ultimate Staffing Services Full time
Job DescriptionJob Description

Must currently live in Colorado.

Hybrid Scheudle - 3 days onsite 2 days work from home.

60k-90K DOE

Position Overview: This role provides critical support in managing claims across various coverage types, focusing primarily on Liability. Key responsibilities include assessing coverage, examining legal and damage-related matters, and effectively managing claims from start to resolution, all while adhering to company standards and regulatory guidelines. A strong emphasis is placed on delivering excellent service to both internal and external stakeholders.

Key Responsibilities:

  • Analyze and interpret policy language, including conditions, exclusions, and endorsements, to address coverage and liability questions on assigned claims.
  • Regularly review and adjust claim reserves to ensure they align with the potential exposure.
  • Conduct investigations to assess coverage and legal issues, including gathering statements, records, and other materials as needed.
  • Maintain thorough documentation of investigation processes and claims handling activities.
  • Negotiate and settle claims with involved parties, providing the necessary resolution documents.
  • Oversee and coordinate work with independent adjusters and external partners involved in claims handling.
  • Perform additional tasks as assigned.

Required Qualifications:

  • At least 3 years of relevant experience in the following areas:
    • Policy interpretation, including coverage analysis and understanding exclusions.
    • Investigating claims, obtaining relevant statements, and collaborating with external experts.
    • Claims administration, including reserve review and compliance with applicable regulations.
    • Settling claims through negotiation, including the preparation of necessary documentation.
  • Strong service orientation with a focus on providing effective and timely support.
  • Demonstrated ability to build and maintain positive working relationships with both internal teams and external contacts.
  • Clear, concise communication skills, both written and verbal, with an ability to interact with customers, claimants, and other parties.
  • Strong negotiation abilities paired with sound judgment and decision-making skills.
  • Willingness and ability to travel for work, including to multiple off-site locations.
  • Experience in handling liability claims across multiple states, including but not limited to AK, AZ, CA, CO, HI, ID, MT, NM, OR, UT, WA, WY.
  • A valid driver's license and an acceptable driving record.
  • Legal authorization to work in the U.S.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.

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