In this role, utilize your knowledge of commercial property, auto and liability claims to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines. Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome Work collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome Maintain working knowledge of regulatory and jurisdictional requirements for assigned claims territory Demonstrate technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines Communicate effectively with customers on claims and account issues Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: Bachelor's degree or four or more years of equivalent work experience in an insurance related industry required At least 3 to 5 years of auto or liability claims management experience required; commercial lines experience strongly preferred Familiarity with coverage, negligence principles, investigation and negotiation techniques Strong organizational skills and detail orientation Ability to work independently, handle multiple tasks simultaneously and exercise good judgment Excellent verbal and written communication skills Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.
02/27/2022
Full time
In this role, utilize your knowledge of commercial property, auto and liability claims to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines. Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome Work collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome Maintain working knowledge of regulatory and jurisdictional requirements for assigned claims territory Demonstrate technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines Communicate effectively with customers on claims and account issues Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: Bachelor's degree or four or more years of equivalent work experience in an insurance related industry required At least 3 to 5 years of auto or liability claims management experience required; commercial lines experience strongly preferred Familiarity with coverage, negligence principles, investigation and negotiation techniques Strong organizational skills and detail orientation Ability to work independently, handle multiple tasks simultaneously and exercise good judgment Excellent verbal and written communication skills Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.
Would you like to contribute to a company who has doubled in size in just a few years? Engle Martin & Associates has done just that and currently has a career opportunity for a Senior Adjuster within the Greater Boston, MA area! This exciting role will be dedicated primarily to General Liability Property Damage (GLPD) claims. Engle Martin and Associates (a division of Cor Partners) is a leading national independent loss adjusting and claims management provider. We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation. This important role effectively determines and communicates the extent of loss or damage associated with commercial claims in a variety of business classes. In doing so, we demonstrate Our Foundation: Together, we commit to impacting lives and serving with passion . What you will do: Determines appropriate methods and extent of needed investigation for all assigned claims; conduct investigation primarily through field visits and phone contact, obtaining medical reports and, appraisals, conducting insured, witness and claimant interviews and/or statements, and completing site inspections or other necessary fact-finding methods to establish liability and proper coverage. Arranges medical examinations, contractors' estimates, and other specialists' appointments as necessary. Attends trials, arbitration, ADR and face-to face negotiations as required. Assists with monitoring quality of services rendered by appraisers, law firms, structured settlement vendors, rehabilitation vendors, and other experts; makes recommendations to client. Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, providing conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially costly losses or involved situations. Maintains accurate, thorough field notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures, and practices and with accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer. Your track record: Ability to understand claims adjudication process 2-5 years' experience in commercial adjusting or other insurance-related work; Xactimate experience a plus. Knowledge of casualty claim law and jurisdictional issues; skills in analyzing, interpreting, synthesizing, prioritizing, and reporting pertinent information and discerning the essential from the non-essential. Research and investigative abilities; negotiating, conflict resolution and persuasion abilities. Baccalaureate degree in a related field, or demonstration of equivalent knowledge and critical thinking skills. Active license, or ability to promptly obtain such, in the assigned state(s). We are an Equal Opportunity Employer offering competitive pay and benefits and an environment where teamwork, ongoing professional development, continuous improvement, and exceptional service are valued and rewarded.
01/31/2021
Full time
Would you like to contribute to a company who has doubled in size in just a few years? Engle Martin & Associates has done just that and currently has a career opportunity for a Senior Adjuster within the Greater Boston, MA area! This exciting role will be dedicated primarily to General Liability Property Damage (GLPD) claims. Engle Martin and Associates (a division of Cor Partners) is a leading national independent loss adjusting and claims management provider. We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation. This important role effectively determines and communicates the extent of loss or damage associated with commercial claims in a variety of business classes. In doing so, we demonstrate Our Foundation: Together, we commit to impacting lives and serving with passion . What you will do: Determines appropriate methods and extent of needed investigation for all assigned claims; conduct investigation primarily through field visits and phone contact, obtaining medical reports and, appraisals, conducting insured, witness and claimant interviews and/or statements, and completing site inspections or other necessary fact-finding methods to establish liability and proper coverage. Arranges medical examinations, contractors' estimates, and other specialists' appointments as necessary. Attends trials, arbitration, ADR and face-to face negotiations as required. Assists with monitoring quality of services rendered by appraisers, law firms, structured settlement vendors, rehabilitation vendors, and other experts; makes recommendations to client. Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, providing conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially costly losses or involved situations. Maintains accurate, thorough field notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures, and practices and with accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer. Your track record: Ability to understand claims adjudication process 2-5 years' experience in commercial adjusting or other insurance-related work; Xactimate experience a plus. Knowledge of casualty claim law and jurisdictional issues; skills in analyzing, interpreting, synthesizing, prioritizing, and reporting pertinent information and discerning the essential from the non-essential. Research and investigative abilities; negotiating, conflict resolution and persuasion abilities. Baccalaureate degree in a related field, or demonstration of equivalent knowledge and critical thinking skills. Active license, or ability to promptly obtain such, in the assigned state(s). We are an Equal Opportunity Employer offering competitive pay and benefits and an environment where teamwork, ongoing professional development, continuous improvement, and exceptional service are valued and rewarded.
COUNTRY Financial is seeking a Sr. Property Claims Representative to join their field claims team. This position provides a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation, negotiation, and settlement of property claims. The person in this position Investigates and maintains property claims. Determines liability, secures information, reviews coverages, arranges property damage appraisals, and settles claims. *This position is part of a job family. Placement will be determined by skills and qualifications of the candidate. Due to the coronavirus (COVID-19) pandemic, we are currently limiting the number of employees in our offices. This position will begin working in a remote capacity and will be expected to return to the assigned office location following a broader return to work announcement. Responsibilities: Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability. Job Requirements: Preferred Qualifications: Bilingual in English and Spanish is preferred. Working knowledge of Microsoft WORD and Excel (or their equivalents), Xactimate, and/or other claims estimating software (as applicable). Possesses competent knowledge with residential and commercial construction techniques.Work may involve overtime or extend beyond normal business hours due to business need or in the case of emergency situations. Required Qualifications: Typically requires: Bachelor's degree and at least 5 years of claims experience OR , Master's degree and at least 3 years of claims experience OR , At least 7 years of claims experience. Maintains the appropriate adjuster's licensing as required by the states in which we do business. Physical Requirements: This job operates in a work from home and virtual office environment with a mobile office/company vehicle to work from and utilize for transportation to and from appointments. Work may extend beyond normal business hours as business needs dictate. Must possess and maintain a valid driver's license with the ability to drive an automobile. Must have the physical dexterity to walk, reach, climb, and crawl to inspect damage, sometimes in unfavorable working conditions or inclement weather. The ability to lift, carry and climb ladders weighing up to 50 pounds to perform roof inspections may be required. May be called upon for catastrophic duty. For more details about careers at COUNTRY Financial®, please visit us online at . COUNTRY Financial does not generally sponsor individuals for employment-based visas for this position.
01/28/2021
Full time
COUNTRY Financial is seeking a Sr. Property Claims Representative to join their field claims team. This position provides a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation, negotiation, and settlement of property claims. The person in this position Investigates and maintains property claims. Determines liability, secures information, reviews coverages, arranges property damage appraisals, and settles claims. *This position is part of a job family. Placement will be determined by skills and qualifications of the candidate. Due to the coronavirus (COVID-19) pandemic, we are currently limiting the number of employees in our offices. This position will begin working in a remote capacity and will be expected to return to the assigned office location following a broader return to work announcement. Responsibilities: Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability. Job Requirements: Preferred Qualifications: Bilingual in English and Spanish is preferred. Working knowledge of Microsoft WORD and Excel (or their equivalents), Xactimate, and/or other claims estimating software (as applicable). Possesses competent knowledge with residential and commercial construction techniques.Work may involve overtime or extend beyond normal business hours due to business need or in the case of emergency situations. Required Qualifications: Typically requires: Bachelor's degree and at least 5 years of claims experience OR , Master's degree and at least 3 years of claims experience OR , At least 7 years of claims experience. Maintains the appropriate adjuster's licensing as required by the states in which we do business. Physical Requirements: This job operates in a work from home and virtual office environment with a mobile office/company vehicle to work from and utilize for transportation to and from appointments. Work may extend beyond normal business hours as business needs dictate. Must possess and maintain a valid driver's license with the ability to drive an automobile. Must have the physical dexterity to walk, reach, climb, and crawl to inspect damage, sometimes in unfavorable working conditions or inclement weather. The ability to lift, carry and climb ladders weighing up to 50 pounds to perform roof inspections may be required. May be called upon for catastrophic duty. For more details about careers at COUNTRY Financial®, please visit us online at . COUNTRY Financial does not generally sponsor individuals for employment-based visas for this position.
Kforce Finance and Accounting
Nashville, Tennessee
RESPONSIBILITIES: Kforce has a client in search of a Claims Specialist 3 in Donelson, TN. Key Tasks: Initiate outbound calls to patients to complete accident interviews via telephone Investigate and confirm any medical coverage related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in Pace and the hospital system Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient Verify patient's eligibility for coverage and obtain billing contact information for the insurance adjuster and/or attorney Send hospital bill to no-fault, third party and workers' compensation insurances via fax, mail and e-mail Follow up for with insurance carriers and attorneys for expedited resolution and payment on patient's account Request documentation where applicable or payment and account status from insurance adjuster or attorney Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system Job Requirements: REQUIREMENTS: Minimum of one-year revenue cycle (ex: insurance billing, collections) experience Property and Casualty (Auto Insurance, Workers' Compensation) experience preferred Health Insurance Appeals experience preferred Subrogation and Coordination of Benefits experience preferred Strong Communication skills Excellent Customer Service skills Ability to work collaboratively with a team Ability to communicate effectively with patients, hospital staff, adjusters and attorneys General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp Insurance Assertive and proactive attitude towards claims resolution Strong attention to detail Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
01/21/2021
Full time
RESPONSIBILITIES: Kforce has a client in search of a Claims Specialist 3 in Donelson, TN. Key Tasks: Initiate outbound calls to patients to complete accident interviews via telephone Investigate and confirm any medical coverage related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in Pace and the hospital system Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient Verify patient's eligibility for coverage and obtain billing contact information for the insurance adjuster and/or attorney Send hospital bill to no-fault, third party and workers' compensation insurances via fax, mail and e-mail Follow up for with insurance carriers and attorneys for expedited resolution and payment on patient's account Request documentation where applicable or payment and account status from insurance adjuster or attorney Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system Job Requirements: REQUIREMENTS: Minimum of one-year revenue cycle (ex: insurance billing, collections) experience Property and Casualty (Auto Insurance, Workers' Compensation) experience preferred Health Insurance Appeals experience preferred Subrogation and Coordination of Benefits experience preferred Strong Communication skills Excellent Customer Service skills Ability to work collaboratively with a team Ability to communicate effectively with patients, hospital staff, adjusters and attorneys General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp Insurance Assertive and proactive attitude towards claims resolution Strong attention to detail Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.