Reserv Claims

Claims Specialist

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls and resolving customer requests
• Gather necessary information from customers to initiate the claim and determine the appropriate course of action
• Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
• Coordinate the repair, if necessary, for the property damage
• Recognize requirements for potential escalation should the loss no longer meet criteria for your handling
• Communicate and coordinate with involved parties regarding negotiations and settlement
• Provide input for continuous development best practices, and process improvements

Bilingual Real Property Damage Claims Adjuster

Manager

• Manage a team of adjuster managing a mix of accounts and lines of business including general liability, commercial property, and others
• Be consistently dependable in achieving or exceeding goals and overcoming obstacles
• Implement and maintain best practices for claims handling, including: claim intake, investigation, evaluation, settlement, and recovery
• Monitor and analyze claims data to identify trends, patterns, and areas for process improvement
• Align team with client and customer expectations of the claims process
• Serve as a resource for escalated claims
• Responsible for accuracy and adequacy of all aspects of claim reserving
• Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
• Foster a positive work environment, promote teamwork, and encourage professional growth and development
• Execute on performance management; attract, hire, retain and provide high level of training
• Collaborate with internal teams, such as Account Management, Compliance, and Claim Operations, to resolve complex or escalated claims-related issues
• Establish and maintain strong relationships with external stakeholders, including policyholders, agents, brokers, and legal representatives
• Prepare and present comprehensive claims reports, metrics, and analysis to clients and customers; advise clients on claim trends and loss mitigation

Bodily Injury Claims Manager

Team Lead

• Flexibility - you will need to be able to switch from claims handling to coaching and feedback
• Agility- you must have an agile mindset and the ability to pivot from focus to focus in a moment's notice
• Be consistently dependable in achieving or exceeding goals and overcoming obstacles
• Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery
• Align team with client and customer expectations of the claims process
• Serve as a resource for escalated claims
• Foster a positive work environment, promote teamwork, and encourage professional growth and development
• Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team
• Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation

Bodily Injury Claims Team Lead

• Provide prompt, courteous, and high-quality customer service to all policyholders and claimants by answering customer calls, texts, and/or emails in a timely and accurate manner.
• Gather necessary information from customers to initiate the claim and explain policy, coverage, and educate them on the claims process and next steps.
• Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim.
• Work with the APD team on the handling of property damage claims.
• Recognize recovery opportunities with regard to subrogation and salvage, as well as total loss.
• Ensure compliance with specific state regulations, policy provisions, and standard operating procedures.
• Negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority.
• Provide input to continuously develop claims guidelines, best practices, and process improvements.
• Know the claims inside and out and ensure outside investigative service providers, including independent appraisers and defense counsel, are guided based on what we need to move the file to a quick and appropriate resolution.
• All the while keeping our clients updated where needed.
• Engage in learning opportunities to build knowledge of claims statutes, recent/updated court decisions impacting the claims function, current internal guidelines, and policy changes and modifications.

Claims Adjuster, Trucking BI

• Flexibility - you will need to be able to switch from claims handling to coaching and feedback
• Agility- you must have an agile mindset and the ability to pivot from focus to focus in a moment’s notice
• Be consistently dependable in achieving or exceeding goals and overcoming obstacles
• Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery
• Align team with client and customer expectations of the claims process
• Serve as a resource for escalated claims
• Foster a positive work environment, promote teamwork, and encourage professional growth and development
• Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team
• Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation
• Serve as backup/leader when the Manager is out of office
• Responsible for having direct reports
• Responsible for initial onboarding tasks / access and new hire cultural immersion
• SME for first-line questions, escalations, roundtable discussions
• Increased reserve and payment authority with the ability to assist with moderate reviews
• Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees
• Customer Obsession Champions - Active advocates who help leadership cultivate a customer-centric mindset

Claims Team Lead

• Manage a team of team leads and adjusters managing a mix of accounts and lines of business
• Be consistently dependable in achieving or exceeding goals and overcoming obstacles
• Implement and maintain best practices for claims handling, including: claim intake, investigation, evaluation, settlement, and recovery
• Monitor and analyze claims data to identify trends, patterns, and areas for process improvement
• Align team with client and customer expectations of the claims process
• Serve as a resource for escalated claims
• Responsible for accuracy and adequacy of all aspects of claim reserving
• Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
• Foster a positive work environment, promote teamwork, and encourage professional growth and development
• Execute on performance management; attract, hire, retain and provide high level of training
• Collaborate with internal teams, such as Account Management, Compliance, and Claim Operations, to resolve complex or escalated claims-related issues
• Establish and maintain strong relationships with external stakeholders, including policyholders, agents, brokers, and legal representatives
• Prepare and present comprehensive claims reports, metrics, and analysis to clients and customers; advise clients on claim trends and loss mitigation

Claims Manager – Trucking

Financial Planning and Analysis

• Assist in reconciling US, UK, and other European loss fund payments with claims data, financial records, and bank statements.
• Collaborate on investigating and resolving any financial discrepancies with internal teams and customers
• Work with the financial operations team to document processes and procedures.
• Actively identify opportunities for optimization to support continuous improvement.
• Other duties as assigned.

Financial Operations Analyst

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
• Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
• Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
• Coordinate the repair of damaged vehicles and assist with rental reimbursement
• Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss
• Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
• Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
• Provide input for continuous development of claims guidelines, best practices, and process improvements
• Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim
• Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications

Bilingual Spanish Commercial Claims Adjuster – Auto Damage

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by responding to customer inquiries, initiating investigations and resolving customer claims.
• Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
• Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
• Coordinate the repair of damaged vehicles and assist with rental reimbursement
• Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss
• Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
• Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
• Provide input for continuous development of claims guidelines, best practices, and process improvements
• Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim
• Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications.

Commercial Claims Adjuster – Auto Property Damage

• Lead and develop a pod of 4 General Liability adjusters handling Premise, Habitational, Risk Transfer, Construction, and New York Labor Law claims.
• Own the performance and health of the dedicated account. That means quality, timeliness, outcomes, and the client relationship.
• Review reserves, coverage positions, and settlement strategy; approve or escalate within your authority.
• Handle escalations and the most complex, high-exposure litigated files directly.
• Run QA and file reviews; coach to the gaps you find and raise the bar across the team.
• Serve as the primary claims point of contact for the client including reporting, trends, and program-level recommendations.
• Direct outside counsel and investigative vendors on significant matters.
• Build and refine claims guidelines, best practices, and process improvements for the account, and help shape how our broader claims org operates.
• Support hiring, onboarding, and ongoing development for the team.

Claims Team Lead – General Liability

General

• Serve as backup/leader when the Manager is out of office
• Responsible for having direct reports
• Responsible for initial onboarding tasks/ access and new hire cultural immersion
• SME for first-line questions, escalations, roundtable discussions
• Increased reserve and payment authority with the ability to assist with moderate reviews
• Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees
• Customer Obsession Champions- Active advocates who help leadership cultivate a customer-centric mindset