Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Insurance, Property & CasualtyIndustries
Requirements
Bachelor’s Degree or equivalent experience
Generally, 6 to 10 years of claim handling experience
Responsibilities
Investigates and maintains claims: Reviews and evaluates coverage and/or liability
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, reports or other documents) in the investigation of claims
Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary
May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority
Conveys more complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties, maintaining a professional demeanor in all situations
Ensures that claims payments are issued in a timely and accurate manner
Ensures that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed
Provides technical advice to lower level positions and other functional areas
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports