Reserv Claims

Claims Specialist

• 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.

BI Claims Adjuster, Courier Delivery

• 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

APD Claims Adjuster, Courier Delivery

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
• Manage an inventory of litigated and non-litigated cases
• Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers
• Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
• Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders
• Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry
• Review legal documents and ensuring compliance with initial suit-handling plan of action
• Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed
• Analyze policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure
• Direct and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters
• Maintain adjuster licenses and continuing education requirements

BI Claims Adjuster, Courier Delivery

APD Claims Adjuster, Courier Delivery

Commercial Bodily Injury Claims Adjuster