Auto Claims Adjuster

Auto Claims Adjuster

Under direct supervision and following standard procedures, the Auto Claims Adjuster investigates, evaluates, and resolves/disposes of general property, casualty, and/or workers' compensation claims to determine the extent of company liability. This may include the determination and evaluation of coverage, compensability, liability, and damage in accordance with policy provisions.

Essential Duties And Responsibilities

• Follows corporate policies, procedures, and fair claims handling practices.
• Investigates claims to determine validity and extent of liability, including:
  • Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others.
  • Reviews and evaluates documentation, including applications, reports, and statements.
• Monitors appropriate claim outcomes through a self-audit process.
• Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues.
• Ensures legal, regulatory, and fair claims handling compliance.
• Sets or recommends reserves based on results of claim investigation.
• Within defined authority, manages, evaluates, and concludes claims.
• Prepares and maintains claim reports.
• May provide interaction with insureds, agents, claimants, attorneys, and other service providers, including:
  • Conducts in-depth interviews and/or scene inspections.
  • Attends settlement conferences and/or trials.
• May serve as a member of project teams, contributing to the achievement of project objectives.
• Performs other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

• Level 4: Two to four years related experience and/or training; or an associate's degree (A.A.) from a two-year college/technical school; or equivalent combination of education and related experience/training.
• A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.

Key skills/competency

• Claims Investigation
• Liability Assessment
• Coverage Evaluation
• Customer Service
• Negotiation
• Regulatory Compliance
• Claims Resolution
• Report Preparation
• Policy Interpretation
• Problem-Solving