Claims Specialist

• Investigate and confirm the facts of loss for automobile accidents.
• Determine coverage, liability, damages and adjust and negotiate claims within limit of authority.
• Handle investigation regarding auto claims (coverage, liability and damages).
• Review, evaluate, and negotiate basic injury claims if handled.
• Recognize and identify body parts of a vehicle and understand other potential property damage.
• Identify customer needs and work to meet those needs using appropriate customer service skills.
• Determine subrogation or fraud potential and how to handle.

MD Claims Adjuster

• Examining and appropriately interpreting insureds’ policies, forms in force, and other records to determine coverage and extent of the company’s exposure and policy limitations
• Applying knowledge of multiple state statutes, including the insurance code of ethics, rules, regulations, and guidelines
• Desk reviewing, drafting, adjusting, and approving estimates of damage and loss amounts for structural damages, mitigation, remediation, etc
• Using varying methods of investigation, including taking recorded statements, consulting with experts, identifying property damage, and reviewing documentation
• Keeping active communication and working with customers, their representatives, contractors, and experts throughout the Claims process from first notice of the claim through repair completion
• Working with public adjusters and attorneys that may represent the insured(s) and responding to all notices and letters in accordance with state guidelines

Senior Claims Adjuster, Large Loss

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