Senior Claims Adjuster leading the auto claims process at American Freedom Insurance. Assessing and resolving complex claims while collaborating with various stakeholders and training junior staff members.
About the role
- Claims Representative II managing PIP claims for auto insurance. Investigating and settling claims while ensuring compliance with state laws and documentation of decisions.
Responsibilities
- Drive efficient PIP claim resolutions by investigating, evaluating, and settling auto insurance claims for medical coverage and compliance with state laws
- Verifying that coverage exists
- Investigating and gathering information about injuries from auto accidents
- Determining qualification for benefits
- Documenting all decisions, correspondences, reports and discussions
- Assisting with litigation support including depositions and interrogatories
Requirements
- Bachelor’s Degree or equivalent experience
- 1 or more years of related work experience
- Knowledge of insurance policies and coverage, claim payment procedures, and familiarity with medical terminology
- Able to make sound decisions while using good judgment in evaluating claims
- Able to review and interpret complex and detailed documents such as contracts, medical reports and insurance regulations
- Effective oral and written communication skills
- Able to maintain confidential information
- Personal computer and math skill beneficial
- Ability to pass the required coursework applicable to the job duties
Benefits
- Flexibility through a scheduled Hybrid work model
- In-office workspace and materials for home office
- 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting
- Continue education and career development through Sentry University (SentryU)
- Tuition Reimbursement program
- Generous Paid-Time Off plan
- Volunteer-Time off
- Group Medical, Dental, Vision, Life insurance
- Parental leave
- Health and Wellness benefits
- Well-being and Employee Assistance programs
- Sentry Foundation gift matching program
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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