Multi-Lines Claims Adjuster jobs in United States
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Farmers of Salem · 18 hours ago

Multi-Lines Claims Adjuster

Farmers of Salem is a regional mutual insurance company with over 170 years of experience, specializing in insurance for home and business owners. They are seeking a Multi-Lines Claims Adjuster responsible for handling insurance claims related to property damage and managing overall insurance processes.

InsuranceInsurTechProperty Insurance

Responsibilities

Handle property and/or liability claims
Inform manager of any claim that exceeds authority level
Ability to make claim related decisions up to authority level
Prepare and Issue all written correspondence as appropriate
Option to review any aspect of claim file with management, including claims within authority level
Comply with Unfair Claims Settlement Practices Act for all states
Understand policy coverages
Use Image Right and Finys in conjunction with claim adjusting functions
Ensure all correspondence is made part of the Image Right claim file
Research Underwriting file for applicable coverage forms and endorsements and include in claim file as needed
Verify policy is active
Send underwriting alerts when appropriate
Clearly explain claims process to insureds and agents
Review Independent adjuster reports, determine investigation needed and applicable coverage, evaluate information to adjust reserves
Obtain Public Adjuster Licenses and retainers as needed
Provide settlement authority to independent adjusters, based on authority level
Finalize settlements by obtaining appropriate documents and/or documentation
Issue Loss and Expense payments, and manage reserves, appropriately
Issue Compliance Letters
Prepare coverage denial letters and Reservation of Rights letters, with manager review
Prepare responses to Insurance Department Complaints, with manager review
Provide claim status updates when requested
Handle files through litigation, with manager oversight
Prepare Re-insurance notices as required and send to accounting department, Guy Carp, and support staff following department procedures
Follow Large Loss Notification procedure related to Excel report and Large Loss Group
Identify subrogation potential and follow through to recovery per department procedures
Coordinate subrogation efforts with Cause & Origin investigators and subrogation attorneys as needed
Manage Image Right workflows to ensure timely handling of claims
FNOL workflows
Mail & re-indexing workflows
Diary
Option to participate in scene investigations with independent adjusters, engineers, and contractors
Option to participate in legal proceedings with defense attorneys i.e. mediations, settlement conferences, depositions, or trials
Opportunity to participate in on or off-site claims or insurance education or events
Deliver timely, quality customer service in all aspects of job position
Willingness to work outside of normal hours during catastrophic weather events
Other jobs as assigned
Is expected to keep confidential all information obtained during employment

Qualification

Claims ManagementInsurance KnowledgeNegotiation SkillsImage RightFinysCustomer ServiceComputer SkillsVerbal CommunicationWritten CommunicationTime ManagementTeamwork

Required

Handle property and/or liability claims
Inform manager of any claim that exceeds authority level
Ability to make claim related decisions up to authority level
Prepare and Issue all written correspondence as appropriate
Option to review any aspect of claim file with management, including claims within authority level
Comply with Unfair Claims Settlement Practices Act for all states
Understand policy coverages
Use Image Right and Finys in conjunction with claim adjusting functions
Ensure all correspondence is made part of the Image Right claim file
Research Underwriting file for applicable coverage forms and endorsements and include in claim file as needed
Verify policy is active
Send underwriting alerts when appropriate
Clearly explain claims process to insureds and agents
Review Independent adjuster reports, determine investigation needed and applicable coverage, evaluate information to adjust reserves
Obtain Public Adjuster Licenses and retainers as needed
Provide settlement authority to independent adjusters, based on authority level
Finalize settlements by obtaining appropriate documents and/or documentation
Issue Loss and Expense payments, and manage reserves, appropriately
Issue Compliance Letters
Prepare coverage denial letters and Reservation of Rights letters, with manager review
Prepare responses to Insurance Department Complaints, with manager review
Provide claim status updates when requested
Handle files through litigation, with manager oversight
Prepare Re-insurance notices as required and send to accounting department, Guy Carp, and support staff following department procedures
Follow Large Loss Notification procedure related to Excel report and Large Loss Group
Identify subrogation potential and follow through to recovery per department procedures
Coordinate subrogation efforts with Cause & Origin investigators and subrogation attorneys as needed
Manage Image Right workflows to ensure timely handling of claims
FNOL workflows
Mail & re-indexing workflows
Diary
Option to participate in scene investigations with independent adjusters, engineers, and contractors
Option to participate in legal proceedings with defense attorneys i.e. mediations, settlement conferences, depositions, or trials
Opportunity to participate in on or off-site claims or insurance education or events
Deliver timely, quality customer service in all aspects of job position
Willingness to work outside of normal hours during catastrophic weather events
Other jobs as assigned
Is expected to keep confidential all information obtained during employment
Ability to evaluate, negotiate, and settle claims
Basic understanding of Medicare Section 111 process
Basic understanding of legal liability
Knowledge of building and medical terminology
Basic understanding of court system and negligence laws
Claims and Insurance Education to keep current with Industry Standards, and internal policy form changes or adoption of new policy/coverage forms
Ability to work well both independently and in a team environment
Maintain and display a positive attitude at all times
Good Customer Service Skills
Good Verbal and Written Communication skills
Ability to multi-task, and shift between priorities as needed throughout the workday
Planning, Organizing, and Time Management skills
Computer Skills – Excel, Word, Power Point, and ability to learn insurance systems
College Degree or Equivalent Experience
1-3 years insurance-related exposure and/or insurance courses required

Company

Farmers of Salem

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Farmers of Salem is a mutual insurance company specializing in insurance for home and business owners.