Senior Claim Rep - General Liability
Location: Montgomery, Alabama
Description: Meadowbrook Insurance Group Inc. is currently interviewing Senior Claim Rep - General Liability right now, this occupation will be settled in Alabama. More details about this occupation opportunity please give attention to these descriptions. Summary
The primary responsibility of the Senior Claims Rep is to provide prompt, cost effective and efficient examination, investigation and settlement or denial of general liability claims up to the highest and most severe exposure with minimal supervision, by exercising independent decision making skills and judgment.
Essential Functions
Adjust a caseload of assigned files in accordance with Meadowbrook Insurance Group’s policies and procedures.
Maintain an active diary on 100% of caseload files, with a current plan of action.
Verify coverage, investigate the loss by gathering all pertinent information, evaluate the claim, set reserves, negotiate settlements or deny payments where no overage, liability or compensability exists.
Record statements, obtain documentation such as police reports, medical reports, appraisals, estimates, photographs, etc. to process claims in accordance with Company standards.
Evaluate loss, assess reserve and settlements value where applicable and settle cases with claimants, insured’s and attorneys autonomously.
Decide on denial of coverage, liability or compensability.
Assure all litigation cases are handled effectively and cost efficiently until legal settlement has been reached or judgment has been awarded, including decisions to award appeals, as assigned by Branch Management.
Identify and thoroughly investigate all possible recovery and subrogation opportunities revealed in the claims handled.
File all state and/or federal forms, filings and reports in accordance with the statutory Guidelines.
Process all medical bill and indemnity payments in accordance with statutory and/or office policy timeframes. Process medical bills through applicable cost-containment procedures on a timely basis, as set by office guidelines or statutory allowances
Work closely with the Loss Control department to return claimants to work and will notify Loss Control immediately if a policyholder is uncooperative in return-to-work efforts
The candidate will also perform other duties as assigned.
Requirements
Five (5) or more years adjusting experience is required.
College degree or equivalent experience.
Ability to prioritize daily workflow of a moderate technical complexity.
Excellent written and oral communication skills.
Detail orientated, with excellent organizational and planning skills.
Ability to work independently and with initiative is essential.
Experience negotiating settlements both telephonically and in person with attorneys, mediators, judges or other carrier personnel.
Thorough knowledge of claim procedures, policies, terminology, etc.
Extensive experience in commercial coverages.
Experience in litigated claim handling of high exposure files.
Working knowledge of civil procedure, petitions, complaints, Department of Insurance operations audits.
Demonstrate strong problem-solving and analytical ability.
- .
If you were eligible to this occupation, please deliver us your resume, with salary requirements and a resume to Meadowbrook Insurance Group Inc..
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Fri, 10 Aug 2012 00:43:56 GMT
Apply Senior Claim Rep - General Liability Here