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Acrisure · 1 day ago

Liability Claims Supervisor

Oak Ridge, TN

Full-time

Hybrid

Mid Level

3+ years exp

Acrisure is a company that manages, adjusts, and controls insurance claims for various carriers. They are seeking a Liability Claims Supervisor to review, process, and handle general liability claims, ensuring timely communication and negotiation with clients, physicians, and attorneys.

Financial ServicesInsuranceInsurTech

Responsibilities

Investigate newly assigned claims by making 3-point contact (client, claimant, physician) within a 24-hour period

Inquire and probe for information with clients and claimants to determine nature and cause of injury; verify all parties agree on incidents

Contact physicians to obtain medical diagnosis and projected treatment plan

Record claimant statements to verify information and claim status

Determine and assess if benefits due and liability of claims through evaluation of claim

Respond to all inquiries and requests from clients, physicians, and attorneys in a timely manner

Draft and send written communications for follow-up as needed with all involved parties

Document all information from contacts with clients, claimants, physicians, and attorneys into the claims system

Review and process daily paperwork, mail or communication relating to claims status

Maintain diaries and files for medical records and legal documents for claims

Calculate and pays benefits due; approve and makes timely claims; manages reserve adequacy throughout the life of the claim

Set reminders to follow-up on tasks through a diary on the system, check diaries daily

Review legal bills for accuracy and approve for payment

Consult with outside medical counsel to obtain pre-certification approval for specific treatments when needed

Coordinate and monitor litigation with attorneys. Prepare necessary state fillings within statutory limits

Evaluate settlement amounts with client; negotiate settlement with claimants and attorneys

Handle claims involving subrogation from investigation through recovery including talking to witnesses, obtaining police reports, and communicating with legal contacts and third-party insurance companies

Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets

Uses appropriates cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients

Ensures claims files are properly documented and claims coding is correct

Refer cases as appropriate to supervisor and management

Qualification

Liability claims handlingNegotiation skillsAnalytical thinkingAttention to detailCommunication skillsBasic computer skillsCalculate figuresBilingual (second language)Time managementInterpersonal skills

Required

High school Diploma or equivalent is required

3-5 years prior experience handling auto/general liability claims/ or an equivalent combination of training, education and experience

Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required

Analytical thinking skills are needed to properly evaluate complex claims

A strong attention to detail is necessary as claims adjusters must carefully review documents and policies

Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred

Ability to listen well and negotiate with constituents is needed

Basic computer skills or the ability to quickly learn new software are required

A strong work ethic and time management skills is needed, to efficiently handle a large caseload

Ability to establish and maintain good rapport with clients and claimants is needed

Ability to calculate figures is required

Preferred

Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred

Ability to speak a second language is an asset