Description

• Work under limited supervision to receive assignments and review claim and policy information, providing background for investigations and determining policy obligations as appropriate for the line of business.
• Contact, interview, and obtain statements (recorded or in person) from insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information.
• Inspect and appraise damage for property losses or arrange for such appraisal, depending on the line of business.
• Review, evaluate, and negotiate bodily injury claims of varying severities.
• Manage litigation on behalf of clients or insureds.
• Assess facts obtained during investigations to determine the extent of liability and the company's obligation under the policy contract.
• Prepare reports on investigations, settlements, claim denials, and evaluations of involved parties.
• Set reserves within authority limits and recommend reserve changes to the Team Leader.
• Review the progress and status of claims with the Team Leader, discussing challenges and recommending solutions.
• Prepare and submit unusual or potentially undesirable exposures to the Team Leader.
• Assist the Team Leader in developing improved methods for handling claims.
• Settle claims promptly and fairly.
• Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim payments.
• Communicate claim denials to claimants, insureds/customers, or attorneys as applicable.