Casualty Claims Adjuster I Jobs

Good time management and organization skills preferred

This is a remote, work from home position in West Virginia

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

Ability to train and perform the job in a remote setting while meeting our work from home requirements.

Required Experience, Education and Skills

Manage an inventory of claims within specified state compliance guidelines.

Manage communications in writing, by telephone and by electronic means (e.g., e-mail).

1-2 years claims liability experience

High school Diploma/GED or equivalent experience required.

Job Requirements (education, experience, skills):

· Insurance experience – requires working knowledge, casualty, terms and elements

· Insurance experience – requires working knowledge property, casualty, and financial lines.

· Other duties as assigned by manager

· College graduate and/or applicable training and/or experience

· 3+ years analyst, insurance, underwriting or relevant experience required

Mentors less experienced claims associates and assists with training/presentations as assigned by claims management.

5+ years of Commercial Casualty Claims experience

Construction Defect claims experience is highly preferred

Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.

Utilizes various methods of settlement in those cases where warranted; assigns cases to outside vendors as warranted.

Oversees defense counsel in all lawsuit activities throughout the life of the claim.

Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.

Excellent oral and written communication, including presentation skills

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly.

Bachelor’s degree or equivalent relevant experience

Five years of claims adjusting experience

Proven, excellent knowledge of the theory and practice of the claim function

Strong knowledge of insurance contracts, medical terminology and legal aspects of court procedures

Strong knowledge of computers and claims systems

Strong organizational and written and verbal communication skills

Strong time management skills from a global case management or 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

2 or more years of related experience

Strong verbal and written communication skills

Strong litigation management and negotiating skills

Minimum of 4 years of claims adjusting experience

Experience handling moderate to high severity casualty claims and claims involving litigation is preferred

Strong interpersonal and communication skills

Strong coverage and organizational skills

Assist with various casualty claims initiatives, including assisting with technical training, pilot programs and other assigned projects

Strong organizational and analytical skills

Knowledge of standard office equipment

Clerical experience working in a professional office setting

Healthcare or medical claims experience

Correct keying errors that are noted by system edits

Accurately use medical review forms and all available reference materials

Perform other duties and responsibilities as assigned or required.

Moderate computer and line of business technical software skills required.

General knowledge of negligence and subrogation principles desired.

Advanced organization and planning recognition skills required.

Advanced oral and written communication skills required.

Working Environment and Minimum Physical Requirements:

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

Bachelor’s degree or equivalent work experience

Three years of claims adjusting experience

Strong knowledge of the theory and practice of the claim function

Strong knowledge of insurance contracts, medical terminology and legal aspects of court procedures

Strong knowledge of computers and claims systems

Strong organizational and written and verbal communication skills

Make recommendations to management for settlement amount outside of authority limits.

Proven interpersonal, analytical and negotiation abilities required

Bachelor`s degree or equivalent in addition to 1 year claims handling experience

Knowledge of legal liability, insurance coverage and medical terminology preferred

Notify agent and insured of coverage or any issues.

Establish reserve levels at the beginning of handling a claim and adjust as appropriate based on investigation findings within assigned authority.

High School Diploma or Equivalent and 6 or more months of experience in the agricultural area

Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date

Excellent verbal, written and interpersonal communication skills

Strong organization and prioritization skills

Perform fact finding regarding crop damage; record information and transmit loss information to accurately determine potential damages

Provide excellent service to our customers – both agents and policyholders (farmers)

Make recommendations to management for settlement amount outside of authority limits.

Proven interpersonal, analytical and negotiation abilities required

Bachelor`s degree or equivalent in addition to 1 year claims handling experience

Knowledge of legal liability, insurance coverage and medical terminology preferred

Notify agent and insured of coverage or any issues.

Establish reserve levels at the beginning of handling a claim and adjust as appropriate based on investigation findings within assigned authority.

Adheres to all state requirements regarding regulatory compliance by sending out letters/forms containing appropriate language according to timelines

Assigns and manages vendors for accuracy and appropriateness with supervisory approval as appropriate

Bachelor’s degree or equivalent relevant experience

Three years of casualty claims adjusting experience or related experience

Strong knowledge of the theory and practice of the claim function

Strong knowledge of insurance contracts, medical terminology and substantive and procedural laws

High School Diploma or Equivalent and 6 or more months of experience in the agricultural area

Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date

Excellent verbal, written and interpersonal communication skills

Strong organization and prioritization skills

As a Crop Adjuster, your primary accountabilities will include:

Perform fact finding regarding crop damage; record information and transmit loss information to accurately determine potential damages

Manage 75 -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.

HR or Risk Management experience in the public sector

One year of full-time analytical experience including experience processing and adjusting liability, benefits or insurance claims

Experience with Microsoft Office applications Strong negotiation skills

Assess and evaluate damages, benefits, causes, and extent of injuries

Be flexible, adaptable, and manage competing priorities

the basic job duties an employee must be able to perform:

Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively.

Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage issues.

May serve as the backup for the manager when needed, reviewing file reports, evaluations, reserve recommendations and authority requests.

Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.

Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.

Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.