Insurance

• Analyze mid- and higher-level general liability claims to determine benefits due
• Ensure ongoing adjudication of claims within company standards and industry best practices
• Identify subrogation of claims and negotiate settlements
• Gather information to determine liability exposure; assign reserve values to claims
• Make claims payments as necessary and settle claims up to designated authority level
• Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract
• Communicate claim action with claimant and client
• Ensure claim files are properly documented and claims coding is correct
• May process complex lifetime medical and/or defined period medical claims including state and physician filings and decisions on appropriate treatments recommended by utilization review
• Maintain professional client relationships

Claims Adjuster – Liability

Senior Manager, Insurance Product Analysis

Health Insurance Liaison

Special Credits Insurance Control Officer I, II, III

Intern – Mission Assurance

P&C Core Insurance Transformation Engagement Director