This is a fully remote position, the candidate can work anywhere in the U.S. remotely. Must have experience.
Claims Resolution Specialists are responsible for obtaining and maintaining essential information in order to handle liability no injury auto claims. You will manage the investigation and evaluation as well as take on the responsibility for negotiating and settling personal lines claims. As part of the claims process, you will complete review of policy, accident details and determines coverage and damages owed. As a Claims Resolution Specialist, you will be challenged to handle the most complex auto liability no injury claims including but not limited to coverage issues, multiple car accidents (4+), specialty vehicles, service issues, high profile claims and litigation. As an experienced adjuster and specialist, you may assist with the training, onboarding, and mentoring of new hires.
Responsibilities:
100% Remote work from home
$5,000 dollar sign on bonus
Manages claims handling and resolves the most complex claims including but not limited to coverage issues, multiple car accidents (4+), specialty vehicles, service issues, high profile claims and litigation. Evaluates liability, coverage and settles claims within prescribed procedures and authority.
Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims. Responds to various written and telephone inquiries including status reports.
Requires frequent coverage research and analysis resulting in final coverage decision.
Evaluates loss details for additional parties to be notified or involved in the claim, such as Total Loss, PIP/Med Pay, Subro, Rental, SIU, Legal. Split the file as needed
Reports coverage denials to manager.
Negotiates coverage and liability decisions with insured, claimant, claimant carrier.
Ensures payments processed as needed, or releases payment once liability decided.
Special assignments or projects as assigned.
In larger claims locations where significant hiring occurs, in addition to complex claims handling, role will also be responsible for the following:
Delivers formal training to assigned client groups (predominately new hires). Formal training is typically delivered one-on-one.
Confers with managers to identify training needs and to ensure training content and materials meet those needs.
Answers questions and provides sound guidance to assigned client groups (predominately new hires) related to Inside Auto Physical Damage (APD) claim handling.
Job Specifications:
Reference: 2022-49704
Category: Claims
Primary Location: Remote
Additional Locations:
Schedule: Full-TimeSalary: USD-$56,100.00-–-$60,000.00-/-Year
Education Level: High School Diploma/GED
Travel: As Needed