PRS, Senior Auto Claims Examiner

Job description

POSITION RESPONSIBILITIES

Analyze first reports and promptly contact insured/claimants. Effectively evaluate contract language and identify coverage issues. Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Maintain an active file diary to move file toward resolution. Establish accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices.

Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors. Effectively evaluate claim facts and negotiate claim settlements. Develop and maintain strong business relationships with internal and external customers. Serve as a technical resource to lesser experienced Adjusters on the team. Successfully contribute to the development and delivery of the team’s goals, objectives and results.

Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.

Qualifications

KNOWLEDGE, SKILLS & ABILITIES

Full knowledge of insurance contracts, investigation techniques, legal requirements and insurance regulations. Ability to work effectively in teams and with a wide variety of people. An aptitude for evaluating, analyzing, and interpreting information.

Excellent skills in the areas of: Customer service Investigation techniques Organization Time management and the ability to multi-task Verbal and written communication Negotiation and reserving Innovative thinking Current Claims Adjuster licenses in one or more states preferred but must be willing to obtain additional state licensures.

EXPERIENCE & EDUCATION

Bachelor’s Degree or equivalent experience required.