Claims Specialist

Job description

Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established best practices and assure claims are handled within granted autonomy limits. The adjuster will primarily manage claims valued under $500k, including claims that are in litigation. Major Responsibilities: - Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file. - Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing, and analyzing reports and related bills. - Evaluate and determine appropriate reserving levels in compliance with claim guidelines - Select and direct independent external service providers (e.g., Lawyers, Independent Adjusters, Experts) - Identifies and addresses subrogation/contribution/SIU opportunities. - Negotiate and resolve non-complex claims ensuring cost effective, service orientated solutions - Ensure all claims handled within authority limits, and in line with Claim’s procedures and guidelines - Refer cases outside of authority level, preparing referral documentation and materials...