Analyzing and regulating insurance claims processes for various insurance products. Work for a leading insurance company focusing on customer service and quality assurance.
About the role
- Liability Claims Adjuster analyzing and processing insurance claims for Generali Global Assistance. Handling complex claims and maintaining compliance with state regulations while communicating with various stakeholders.
Responsibilities
- Responsible for analyzing and processing insurance claims to determine the extent of the insurance carriers liability in a manner that supports the mission, values, and standards of the Company.
- Primary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, claimants, attorneys, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files.
- Moderate to severe complexity third-party bodily injury and property damage claims.
- Responsible for the investigation and resolution of litigated and non-litigated claims.
- Document claims files with findings of investigation, evaluate liability, and negotiate settlements.
- Prepare releases of all interested parties, issue reservation of rights letters, and denials of liability.
- Prepare Large Loss reports on Claims involving severe injuries.
- Maintaining rapport and open communications with client.
Requirements
- 5+ years of multi-line claims handling at an insurer or TPA.
- 5+ years working in liability claims
- Experience with premises liability claims and injury evaluation.
- Prior experience handling complex bodily injury claims.
- Ideal candidate will have CPCU, AIC, SCLA or other industry related training or educational course work, a NYS claims adjuster license as well as other state adjusting licenses.
- Excellent verbal and written communication, investigation, organization, and analytical skills.
- An in-depth knowledge of commercial lines coverage and exposure as well as strong decision making, judgment and negotiating skills are needed.
- Experience working with files in litigation and effective communication skills are a must.
- Performs work under minimal supervision.
- Handles complex issues and problems and refers only the most complex issues to higher-level staff.
- Possesses comprehensive knowledge of subject matter.
- Provides coaching and/or mentoring to less experienced employees.
Benefits
- Generous Employer contribution for health, dental, and vision insurance
- Paid Maternity and Paternity Leave
- Scholarship Program for Employee Dependents
- Company match on 401k
- Employee Assistance Program (EAP)
- Company paid short-term and long-term disability insurance
- Company paid life insurance
- Voluntary Pet Insurance
- Voluntary Legal Benefit
- Discounts on travel insurance
- Time off policies including vacation days, sick days, personal days, holidays and volunteer days (VTO)
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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