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About the role
Key responsibilities & impact- Manage claim caseload of basic to highly complex claims within granted authority level
- Establish and maintain effective relationships with internal and external customers and coworkers
- Communicate effectively and timely
- Mentor/coaches account representatives and account specialists
- Investigate, evaluate and resolve claims
- Identify potential problems/trends in claim files and take corrective action or make corrective recommendations
- Interpret medical reports and state law or jurisdictional law in claim handling
- Proactively manage litigation in conjunction with client requirements
- Work constructively with client and legal representatives to resolve claims
- Ensure compliance and best possible outcomes by minimizing financial liability
- Compile requirements to prevent penalties and fines
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- State adjuster licenses required
- Six (6) years of related experience and/or training or equivalent combination of education and experience required
- Thorough legal and jurisdictional knowledge based on line of business
- Strong oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Strong customer service skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Benefits
Comp & perks- Health insurance
- Work-life balance
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementinvestigationevaluationresolutionlegal interpretationlitigation managementcomplianceanalytical skillsjurisdictional knowledgeperformance competencies
Soft Skills
communicationmentoringcoachingorganizational skillsinterpersonal skillscustomer serviceteamworkpresentation skillsproblem-solvingproactive management
Certifications
state adjuster licensesBachelor's degree