Position Purpose:

This position provides professional claims adjusting services for highly complex bodily injury, property damage and auto claims while ensuring all claims are handled in compliance with industry best practices, fair claims practice standards, and company expectations and policies.

Key Responsibilities:

40% - Claim Investigation and Analysis - Investigate potential claim exposure to include gathering relevant documents, obtaining statements as necessary and any other information deemed necessary to determine liability.  Reviewing and analyzing medical records and medical bills to determine customer injuries and related treatment. Evaluating claims for third party involvement.  Reporting claims to excess carriers where appropriate.40% - Claim Management and Resolution - Responsible for 150 complex specialty bodily injury, property damage and auto claims based on assignment and jurisdiction.  Represent the company when engaging with customers, counsel and third parties to process claims and negotiate settlements within designated authority.  This role may include attending mediations where appropriate.  20% - Stakeholder Communication - Routinely communicate claim activity and actively participate in regularly scheduled unit meetings and department meetings. Work toward and achieve team objectives. Develop and recommend solutions for claims above designated authority.
 

Direct Manager/Direct Reports:

This Position typically reports to the Claims Manager or Sr. Claims ManagerThis Position has 0 Direct Reports

Travel Requirements:

Typically requires overnight travel less than 5% of the time.
 

Physical Requirements:

Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions, there may be a need to move or lift light articles.
 

Working Conditions:

Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable.
 

Minimum Qualifications:

Must be 18 years of age or olderMust be legally permitted to work in the United StatesAdjusters license appliable to jurisdiction and line of business
 

Preferred Qualifications:

Bodily injury claims experience in multiple statesLitigation experienceRisk Management and Insurance degree preferredProperty Causality license
 

Minimum Education:

The knowledge, skills and abilities typically acquired through the completion of an associate's degree program or equivalent degree in a field of study related to the job.
 

Preferred Education:

The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.
 

Minimum Years of Work Experience:

5
 

Preferred Years of Work Experience:

5
 

Minimum Leadership Experience:

None
 

Preferred Leadership Experience:

None
 

Certifications:

None  
 

Competencies:

Action OrientedCollaboratesDrives EngagementCommunicates EffectivelyCustomer FocusDrives ResultsManages ConflictExcellent organizational skillsTime management skillsAbility to think critically and utilize good judgment to resolve complex problemsInternal and external communication skillsAbility to work under pressure and prioritize tasksHigh level of basic computer skills (MS Excel, MS PowerPoint, MS Word, advanced web browsing skills)