Job Description

Job Description

Job Description

Description:

POSITION MISSION: Effectively and efficiently investigate, evaluate, negotiate, and settle Personal Lines auto physical damage and liability claims.

POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Affirms or denies coverage of the claim based on the facts and the policy terms and conditions
• Determines liability based on claim investigation and jurisdiction
• Adequate reporting and documentation of all reserve and claim information on a timely basis to allow for proper tracking, statistical analysis and review
• Investigates and evaluates bodily injury claims
• Pursues subrogation and/or arbitration when applicable
• Utilizes knowledge of auto physical damage and bodily injury claims in evaluating and settling claims
• Negotiates with claimants, carriers, and attorneys to reach fair and equitable settlements
• Comply with all regulatory and reporting requirements including fair claims practices act and relevant laws
• Provide superior customer service to policyholders, agents, and co-workers

OTHER DUTIES:

• Identify and respond to all emerging issues impacting company in the area of claim adjustment and loss control
• Performs other duties or special projects as required or as assigned by a supervisor

KNOWLEDGE, SKILLS, AND ABILITIES:

The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily.

• Displays a clear understanding of who their customer is (internal and external)
• Comprehensive knowledge of insurance theory and practices
• Uses professional language, tone and style in all oral and written communications
• Understands the company’s products, services, department function and overall organization
• Well organized and uses time effectively
• Able to effectively balance competing priorities
• Demonstrates initiative and innovation in daily performance of responsibilities
• Manages own time and schedule to meet objectives

QUALIFICATIONS:

• Bachelor’s Degree preferred
• Minimum 2 years of experience handling auto liability claims required
• Exhibits strong oral and written communication skills
• Working knowledge and effective utilization of automated technology
• AIC designation preferred

DEPARTMENTAL EXPECTATIONS

• As a representative of the company, maintain a consistently high level of customer service
• Prompt, reliable, and friendly service
• Effectively utilizes and maximizes the use of available technology to optimum productivity
• Exhibits a sound understanding of department goals and objectives
• Demonstrates initiative and innovation in daily performance of responsibilities. Shows personal integrity, inspires trust, and sets a positive example through a strong work ethic, commitment, and enthusiasm
• Ability to work independently yet be a complete team player
• Support the corporate culture and create a positive work environment

COMPETENCIES:

• Critical thinking
• Customer service centric
• Attention to detail
• Responsible and proactive decision making
• Time management
• Relationship skills
• Analytical thinking skills

PHYSICAL DEMANDS:

Please note, this position description is not designed to cover a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

• Position operates in a professional office or remote office environment and routinely uses standard office equipment.
• Position requires attending both internal and external meetings, attending conferences and other training events.
• Flexibility in daily work times and telecommuting is allowed; average 40-hour week.
• Position can be fully remote.

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