Claims Specialist

• To analyze reported lower-level general liability claims to determine benefits due and ensure ongoing adjudication of claims within company standards and industry best practices.
• Handles lower-level liability and/or physical damage claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
• Communicates claim action/processing with claimant, client and appropriate medical contact.
• Ensures claim files are properly documented and claims coding is correct.
• May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
• Maintains professional client relationships.

Claims Associate – Liability

Claims Representative – Auto

Claims Examiner, Bodily Injury – Litigation

Claims Examiner

Hazmat Claims Adjuster

Claims Examiner – Auto NF, PIP, MP