• Casualty Claims Examiner

    Job Location(s) US-GA-Atlanta
    Job ID
    2018-1615
    # of Openings
    1
    Category
    Casualty/Liability Sr Claims Adjuster
    Job Type
    Temporary Full-Time
  • Overview

    Review policy for coverage, issues coverage position letters including Reservation of Rights and Disclaimers pursuant to policy. Review policy endorsements. Establish appropriate reserve for indemnity and expense commensurate with the coverage afforded and the loss.

    Responsibilities

    Role and Responsibilities

    • Coverage analysis
    • Liability determination
    • Damage evaluation
    • Litigation Management
    • File diary management
    • Large loss reporting to carrier
    • Attend mediations
    • Commercial Auto, Property Damage and General Liability Experience
    • Maintain detailed suit, arbitration and hearing logs.
    • Recommend referral of cases to legal counsel, investigators, and medical case managers within established authority and claim handling instructions. Supervise litigation activities, monitor for adherence to the budget. Supervise outside vendors.
    • Communicate with claimants, providers and vendors regarding claim specific matters.
    • Complete status reports and participate in claim file reviews as required by client.
    • Maintain diary pursuant to Best Practices.
    • Review, document and prioritize incoming mail on daily basis.
    • Adjust claim through to conclusion, documents all activities, complete all information screens and reports as required.
    • Direct activities of assigned claims assistants
    • May participate in some meetings with clients. Participate in mediation or other hearings as required.
    • Resolve matters within prescribed settlement consistent with the client approvals and within the claim handling instruction guidelines
    • Develops and maintains professional customer relationships
    • Develops and maintains professional customer relationships

    Qualifications

    Preferred Skills

    • 8+ years of experience preferred
    • Action orientation
    • collaboration
    • good time management
    • the ability to prepare properly worded correspondence to insured’s, carriers and claimants

    Required:

    Must have a current home state license (GA).

    GA license – need proof of current licensure.

    High school diploma

     

     

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