Insurance

• Investigates liability and applies appropriate coverage, evaluates, negotiates, and settles moderately complex auto claims
• Negotiates liability for comparable negligence (claimant or adverse carrier)
• Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate
• Interacts with multiple parties to gather information needed to determine liability (police reports, recorded statements, witness statements)
• Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload
• Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions
• Collaborates and sets expectations with external and internal business partners to facilitate claims resolution
• Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service
• Applies developing knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures
• Applies intermediate knowledge of Auto Physical Damage to adjust claims
• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours
• May be assigned CAT deployment travel with minimal notice during designated CATs
• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures

Auto Claims Adjuster - Mid Level

Dental Insurance Specialist

Principal, Insurance and Claims Management

Client Assurance Resolution Leader

Insurance Verification Representative

Field Insurance Inspector