Claims Adjuster II – Property, Auto, Liability
BlueCross BlueShield of South Carolina
full-time
Posted on:
Location Type: Hybrid
Location: Columbia • South Carolina • United States
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About the role
- Independently investigates, evaluates, and negotiates the resolution of assigned claims within approved authority
- Responsible for making recommendations for claim outcomes on claims exceeding level of authority
- Conduct investigations of assigned claims in adherence with corporate timeliness and quality performance standards
- Document activities, case action plans, settlements evaluations and requests for authorizations in the claim notes
- Provide management and internal and external customers with documentation to support recommendations and claim status as required
- Direct the litigation process and work with attorneys to establish defense strategy and case legal budget
- Negotiate settlements with opposing counsel
- Evaluate specials, damages, and/or extent of disability, and negotiate settlement with individual claimants and/or attorneys
- Review independent adjustor's reports and handle claim outcomes.
Requirements
- Bachelor's degree (4 years job related work experience or Associate's and 2 years job related work experience)
- 2 years of area related adjusting experience
- Valid adjustor's license in required states or ability to acquire within 6 months if required by the resident state's department of insurance
- Strong organizational skills
- Solid ability and experience navigating multiple systems
- Able to work independently
- Able to manage distractions effectively
- Strong communication skills, both verbally and written.
Benefits
- Subsidized health plans
- Dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims investigationclaims negotiationsettlement evaluationlitigation process managementcase action planningdamage evaluationdisability assessmentreport review
Soft Skills
organizational skillsindependencedistraction managementcommunication skills
Certifications
adjustor's license