Complete coverage analysis, identify all policyholder benefits, create additional sub-claims if needed, and handle highly complex catastrophic injury claims.
*** Review claims, contact insured and other affected parties, set expectations for claim process, and initiate documentation in claim handling system.
***Investigate claim to determine: claim payments, applicable limits or exclusions, and possible recovery potential.
*** Collaborate with insureds, physicians' offices, and medical insurance carriers to obtain necessary information to complete claims review process.
*** Utilize estimation software to evaluate financial value of loss (work loss claims); approve payments for appropriate parties; and refer claims to other company units (Underwriting, Recovery Units or Claims Special Investigation Unit) when necessary.
***Work with Personal Injury Protection unit to resolve claims involving quadriplegic, traumatic brain, amputations, and other catastrophic injuries.
*** Negotiate complex claim settlements.
*** Subrogate claims.
*** Obtain Insurance Institute of America's General Insurance Program, Associate in Claims, Associate in Management, or similar accreditations.
*** Stay apprised of changes to Negligence, No-Fault, and Fair Trade Practices Act, and similar laws.
Be a part of a dynamic organization offering a competitive compensation package commensurate with experience, bonuses, full medical benefits, 401(k) with company match, life & disability insurance, numerous training and coaching programs, comprehensive vacation policies, professional development opportunities, and more!
Please reference #37833178 when responding.Education Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: DallasJob State Location: TXJob Country Location: USA