Job Functions:
 Review and analyze information including coverage, liability, medical records and other
documents as necessary in order to resolve claims
 Analyze and determine value of claim to set case reserves adequately
 Evaluate claims and if loss value exceeds granted authority limit, present claim to management
committee for review
 Negotiate settlement, obtain appropriate releases, protect liens and authorize settlement
payments
 Maintain detailed diary of all claims and update file information to ensure an accurate record of
claims activity
 Review, monitor and control progress and expense of pending claims and comply with company
standards of claims handling and closure ratios
 Analyze, interpret, and evaluate relevant information essential in settling complex high-value
liability and bodily injury claims
 Identify red flags and refer suspect claims to SIU for further review
 Ensure fast and fair claims handling compliant with applicable DOI regulations
 May work on previously worked on and/or closed claims files
 Perform other duties as required by management

Required Skills and Experience:
 Minimum of five (5) years in the auto insurance industry resolving injury claims
 Excellent written and verbal skills to effectively and professionally correspond and negotiate
with claimants, insured, agents, attorneys, etc. in order to settle injury claims
 Significant knowledge of medical and legal terminology and practices
 Currently possess or ability to obtain and maintain adjuster licenses in required jurisdictions
 Must be professional, highly organized and detailed oriented
 Ability to work with little supervision and be able to multi-task
 Working knowledge of Microsoft Office - Word, Excel and PowerPoint
 Strong analytical and problem solving skills, required

Education Requirements:
 Bachelor’s Degree or equivalent, required

Details