Claims Adjuster managing mid- and higher-level general liability claims for a global industry leader. Assessing liability, negotiating settlements, and maintaining professional client relationships.
Responsibilities
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
Assesses liability and resolves claims within evaluation.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.
Performs other duties as assigned.
Supports the organization's quality program(s).
Requirements
Bachelor's degree from an accredited college or university preferred.
Licenses as required.
Professional certifications as applicable to line of business preferred.
Four (4) years of claims management experience or equivalent combination of education and experience required.
Jurisdiction: Multi State Licensing: TX required and NY preferred.
Benefits
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Job title
Claims Adjuster – Liability, BI & GL, Licensing: TX required, Multi State Jurisdiction
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