EXPERIENCED CLAIMS ADJUSTER (AUTO & LIABILITY) - REMOTE- LOUISIANA CLAIMS

Remote Full-time
About the position Responsibilities • Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws. • Establish reserves and/or provide reserve recommendations within established reserve authority levels. • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. • Negotiate any disputed bills or invoices for resolution. • Authorize and make payments of multi-line claims in accordance with CCMSI claim procedures utilizing a claim payment program in accordance with Industry standards and within established payment authority. • Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. • Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors (i.e. legal, surveillance, case management, etc.). • Assess and monitor subrogation claims for resolution. • Review and maintain personal diary on claim system. • Prepare reports detailing claim status, payments and reserves, as requested. • Compute disability rates in accordance with state laws. • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. • Prepare newsletter articles as requested. • Provide notices of qualifying claims to excess/reinsurance carriers. • Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision. • Conduct claim reviews and/or training sessions for designated clients, as requested. • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate. • Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Requirements • 5+ years of multi-line claim experience is required. • Previous experience with litigated claims is highly preferred. • Excellent oral and written communication skills. • Good analytic and negotiation skills. • Detail oriented and a self-starter with strong organizational abilities. • Ability to coordinate and prioritize tasks effectively. • Knowledge of all lower level claim position responsibilities. • Ability to cope with job pressures in a constantly changing environment. • Discretion and confidentiality required. • Reliable, predictable attendance within client service hours. Nice-to-haves • Proficient with Microsoft Office programs. • Initiative to set and achieve performance goals. • Flexibility, accuracy, and the ability to work with minimum supervision. Benefits • 4 weeks of PTO in your first year • 10 paid holidays • Medical, dental, vision, life insurance • Critical illness insurance • Short and long-term disability • 401K • Employee stock ownership (ESOP) Apply tot his job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Remote Accountant Jobs in Lauderdale Lakes, Florida

Remote

QA Operations Specialist

Remote

Experienced Full-Time or Part-Time Online Remote Data Entry Specialist for Blithequark - Immediate Openings Available for Detail-Oriented and Tech-Savvy Individuals

Remote

Experienced Remote Calibration Center Customer Service Representative – Delivering Exceptional Support and Driving Business Growth at blithequark

Remote

Experienced Entry-Level arenaflex Data Entry Specialist – Launch Your Career in E-commerce with No Prior Experience Required (Part-Time Opportunity)

Remote

[Remote] Project Coordinator

Remote

Platform Engineer

Remote

Experienced Online Chat Representative – Delivering Exceptional Customer Support through Digital Channels at blithequark

Remote

Creative Lead

Remote

(Online Remote Jobs) Amazon Jobs Work From Home Part Time

Remote
← Back