Casualty Claims Adjuster I Jobs

Time management skills from a global case management and pending perspective (vs. transactional)

Identifies customer needs and works to meet those needs using appropriate customer service skills

Bachelor’s degree preferred or equivalent experience

0-2 years of related experience

Effective verbal and written communication skills

Problem solving and analytical skills; ability to detect differences and issue recognition from multiple sources

Strong Communication, Presentation, Organization and Relationship Management Skills

Experience: Eight years related experience in Property and Commercial claims. Prefer experience in property/casualty claims management.

Other criteria, including leadership skills, competencies and experiences may take precedence.

Casualty Claim knowledge highly preferred

Manage portfolio of 25-30 vendors and act as the day-to-day internal / external point of contact

May perform other responsibilities as assigned.

Efficient in time management to maintain schedules and deadlines

Investigative, analytical, organizational and decision-making skills

Superior skills in negotiation, communication and customer service

Ability to learn through on-the-job training/training courses and obtain multi state licensing

Ability to perform the essential functions of the position, with or without a reasonable accommodation

Health, Dental, Voluntary Vision and Prescription Drug Insurance

Establishes and maintains positive relationships with both internal and external customers providing excellent customer service.

Provide assistance with developing/mentoring newer claims associates as applicable.

Delivers consistent high-quality claims handling results.

Maintains timely review of file, reserve adequacy and evaluation of files for settlement purposes according to current strategy.

What You’ll Bring To The Company:

Good time management and organization skills preferred

This is a remote, work from home position in North Carolina

Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.

401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.

Career development. Including a tuition reimbursement program for higher education and industry designations.

A company car and equipment to work from home will be provided

Flag issues and escalate urgent matters to management

Determining and resolving workload and assignment issues to ensure effective claims processing, expense management and claims disposition

Claims experience in third party liability claims and working knowledge of the civil litigation legal process is strongly preferred

Execution: Delivering outstanding support to the organization through strong day-to-day business operations, effective project management, and careful oversight of vendors.

Strong oral and written communication skills

Strong analytical and organizational skills

Supports REI’s integrated disability management program.

Apply general logic and critical thinking skills to determine investigation questions unique to the circumstances of the case.

Tracks and maintains OSHA recordkeeping requirements where applicable.

Ensures REI locations have the applicable support documentation to support compliance with REI and State WC requirements.

General knowledge of the Workers’ Compensation, Automobile, and General Liability claims processes.

Three (3) or more years Workers’ Compensation claims experience.

Six to twelve months related experience and/or training; or equivalent combination of education and experience.

Ability to manage several projects simultaneously while working under pressure to meet deadlines.

The individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.

Excellent written communications skills to provide any necessary correspondence with internal and external customers.

Reasonable accommodations may be made to enable individuals with disabilities to perform all functions.

High school diploma or general education degree (GED)

Utilize prior experience in the automotive field, along with technical resources, to understand and validate repair recommendations

Utilize strong communication and negotiation skills to ensure claims are adjudicated within department standards

Other Benefits like 401(k), company paid life insurance, and short and long-term disability.

Tuition Reimbursement. We encourage growth and development, not only in your career with us but also your formal education.

3 + years of experience with current automotive mechanical and diagnostics

automotive experience is a must!

Strong organizational and analytical skills

Strong verbal and written communication skills

Correct keying errors as noted by system edits

Accurately use medical review forms and all available reference materials

High School Diploma or equivalent

Ability to handle confidential or sensitive information with discretion

Partner closely with Producers, Insurance and Safety teams to identify and provide solutions for our client’s claim management needs.

Responsible for prompt delivery and coordination of claim management services.

Manage key relationships with insurers, TPAs, adjusters and safety professionals.

Education: High school diploma; college degree preferred.

Experience: Minimum 3 years of insurance industry experience required; Construction, Multi-line, or workers’ compensation experience a plus.

Company-paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.

In lieu of the above education requirements, an equivalent combination of education and experience may be considered.

Beginning to apply conflict management and problem resolution skills in managing internal and external customer relationships

Processes medical bills and recognizes medical management opportunities

Monitors treatment and benefit payments for excessive, unreasonable, or abusive claims

No Certification, License or Registration is required for the job.

Beginning to apply knowledge of insurance policy, coverage, and regulation

Experience and/or working knowledge of estimating and total loss evaluation systems.

2+ years of relevant adjusting and physical damage appraisal experience.

Current knowledge of property damage repair process.

Knowledgeable of Xactimate estimating platform.

High school diploma or equivalent.

Computer literacy in a Windows operating environment.

Time management skills from a global case management and pending perspective (vs. transactional)

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

Identifies customer needs and works to meet those needs using appropriate customer service skills

Bachelor’s degree preferred or equivalent experience

0-2 years of related experience

Effective verbal and written communication skills

Time management skills from a global case management and pending perspective (vs. transactional)

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

Identifies customer needs and works to meet those needs using appropriate customer service skills

Bachelor’s degree preferred or equivalent experience

0-2 years of related experience

Effective verbal and written communication skills

Documents all relevant information in the electronic claims management system.

Possesses customer service skills and experience.

Models ethical behavior and executes job responsibilities in accordance with Citizens core values, ethics and information protection policies.

Demonstrate working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions.

Strong verbal and written communication skills.

Associate/Technical Degree OR 2 years relevant experience, OR a combination of both college and experience equivalent to 2 years.

Manage 100 -150 casualty claims on assignment.

Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures.

Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary.

Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.

Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically.

Entry-level position. Demonstrated track record as a claims representative and/or demonstration of skills and potential to be a claims adjuster.

Six to twelve months related experience and/or training; or equivalent combination of education and experience.

High school diploma or general education degree (GED)

Ability to manage several projects simultaneously while working under pressure to meet deadlines.

The individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.

Excellent written communications skills to provide any necessary correspondence with internal and external customers.

Reasonable accommodations may be made to enable individuals with disabilities to perform all functions.

(3) years of experience in claim service area within Managed Care Organizations, Insurance, or related fields is required by the incumbent.

Excellent Customer Service Skills with ability to explain complicated claim issues to providers; ability to resolve conflict.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer

Experience and/or working knowledge of estimating and total loss evaluation systems.

2+ years of relevant adjusting and physical damage appraisal experience.

Current knowledge of property damage repair process.

Knowledgeable of Xactimate estimating platform.

High school diploma or equivalent.

Computer literacy in a Windows operating environment.