Description

• Investigate coverage and liability of claims through telephone, automated correspondence, technology and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable coverage letters and written correspondence.
• Analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
• Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
• Evaluate, negotiate, and resolve claims within delegated authority. Handle general liability and auto liability files from start to finish. Assign appropriate counsel if needed to defend a claim.
• Update claims system on a continual basis to accurately reflect status of each assigned file and to initiate percentage of negligence on the part of the insured to determine "chargeability".
• Receive and approve expenses incurred to investigate, process, and handle a claim.
• Close claim by issuing check or denial and securing appropriate releases. Prepare check requisitions for all loss and expense payments.
• Explore contribution on all claims assigned.
• Prepare for and participate in claims review and settlement conferences.
• Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations.
• Investigate damages, coverage, and liability related to a claim through telephone, automated correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable letters based on state regulations and company directives, including coverage and status letters.

Requirements

• 2+ years of commercial auto property damage claims experience preferred
• Handle claims cradle to grave, including coverage, liability, and damages
• Strong knowledge of NJ/CA auto liability and PD regulations
• Experience reviewing estimates, photos, appraisals, and total loss evaluations
• Ability to negotiate and resolve claims with claimants, insureds, and vendors
• Proficiency with claims management systems and estimating platforms
• Strong written and verbal communication skills
• Detail-oriented with strong organizational and time-management abilities