Claims Senior MedPay Adjuster
Job SummaryThe Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices.
Job Duties- Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues.
- Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability.
- Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
- Negotiate within settlement authority with insureds and claimants to resolve first and third party claims.
- Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
- Control expenses for areas of responsibility.
- Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
- Independently resolve claim exposures within level of authority.
- Respond quickly to customer needs and problems.
- May attend and participate in legal proceedings.
Qualifications- Bachelors Equivalent combination of education and experience Preferred
- 7-9 years Prior claims handling experience. Required
- 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred
- Comprehensive knowledge of claims administration best practices and procedures.
- Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues.
- Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required.
- Advanced knowledge of Microsoft Office suite, general computer software and claims software.
- Advanced organization and planning recognition skills required.
- Advanced oral and written communication skills required.
- Advanced interpersonal skills required.
- Advanced leadership skills among peers required.
- Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
- An insurance/claims adjuster license may be required for claims administration in specific states.
Travel Requirements- Occasional travel to off-site business meetings or conferences. (5% proficiency)
The starting pay range for this position is $35.94 - $47.87 per hour. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
Remarkable benefits:• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance,
travel, entertainment, services and more!)
