EXPERIENCED CLAIMS ADJUSTER (AUTO & LIABILITY) - REMOTE- LOUISIANA CLAIMS

Remote, USA Full-time
About the position Responsibilities • Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws. • Establish reserves and/or provide reserve recommendations within established reserve authority levels. • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. • Negotiate any disputed bills or invoices for resolution. • Authorize and make payments of multi-line claims in accordance with CCMSI claim procedures utilizing a claim payment program in accordance with Industry standards and within established payment authority. • Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. • Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors (i.e. legal, surveillance, case management, etc.). • Assess and monitor subrogation claims for resolution. • Review and maintain personal diary on claim system. • Prepare reports detailing claim status, payments and reserves, as requested. • Compute disability rates in accordance with state laws. • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. • Prepare newsletter articles as requested. • Provide notices of qualifying claims to excess/reinsurance carriers. • Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision. • Conduct claim reviews and/or training sessions for designated clients, as requested. • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate. • Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Requirements • 5+ years of multi-line claim experience is required. • Previous experience with litigated claims is highly preferred. • Excellent oral and written communication skills. • Good analytic and negotiation skills. • Detail oriented and a self-starter with strong organizational abilities. • Ability to coordinate and prioritize tasks effectively. • Knowledge of all lower level claim position responsibilities. • Ability to cope with job pressures in a constantly changing environment. • Discretion and confidentiality required. • Reliable, predictable attendance within client service hours. Nice-to-haves • Proficient with Microsoft Office programs. • Initiative to set and achieve performance goals. • Flexibility, accuracy, and the ability to work with minimum supervision. Benefits • 4 weeks of PTO in your first year • 10 paid holidays • Medical, dental, vision, life insurance • Critical illness insurance • Short and long-term disability • 401K • Employee stock ownership (ESOP)
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