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Alliant Insurance Services · 1 day ago

Claims Adjuster

United States

Full-time

Remote

Senior Level

5+ years exp

Alliant Insurance Services is one of the nation’s largest and fastest-growing insurance brokerage and consulting firms. They are seeking a Claims Adjuster responsible for investigating and researching casualty claims, determining coverage, negotiating settlements, and making recommendations on legal and coverage issues.

ConsultingFinancial ServicesInsurance

Responsibilities

Contacts all parties involved in the claim to complete full investigation of the facts and damages relevant to the claim

Identifies potential coverage issues and refers claims to Claims Unit Leader as needed

Determines liability and evaluates damages of all exposures related to the claim

Documents findings of investigation

Interprets and applies the insurance policy to the exposures presented within each assigned claim

Analyzes claims to determine the nature of the loss, coverage provided, and scope of claim

Adheres to all state specific laws and regulations

Negotiates the settlement of claims within authorized levels

Manages assigned claims until resolution has been reached, with the exception of those requiring special handling

Escalates claims exceeding authority limits to supervisor

Provides effective and timely communication to all internal and external customers

Identifies exposures and establishes reserves on assigned claim files

Identifies and refers exposures requiring special handling (such as recovery, fraud, or escalation) in a timely manner

Creates and manages timely, clear and accurate documentation and work flow throughout the life of a claim in accordance with the Standard Operating Procedures

Provides claim support under catastrophic circumstances as needed

Provides guidance and advice to less experienced claims representatives as needed

Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information)

Other duties as assigned

Qualification

Claims investigationInsurance policy interpretationNegotiation skillsMicrosoft Office SuiteAnalytical skillsCustomer service skillsLeadership skillsOrganizational skillsTime management skillsVerbal communicationWritten communication