PRS, Senior Auto Claims Examiner

 POSITION RESPONSIBILITIES:

• Analyze first reports and promptly contact insured/claimants.

• Effectively evaluate contract language and identify coverage issues. 

• Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.

• Maintain an active file diary to move file toward resolution.

• Establish accurate and timely reserves.

• Recognize and pursue recovery.

• Adhere to all statutory and regulatory fair claims practices.

• Recognize and identify potential fraudulent claims.

• Effectively manage the use, work product and expenses of outside vendors.

• Effectively evaluate claim facts and negotiate claim settlements.

• Develop and maintain strong business relationships with internal and external customers.

• Serve as a technical resource to lesser experienced Adjusters on the team.

• Successfully contribute to the development and delivery of the team’s goals, objectives and results.

• Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.

KNOWLEDGE, SKILLS & ABILITIES: 

• Full knowledge of insurance contracts, investigation techniques, legal requirements and insurance regulations.

• Ability to work effectively in teams and with a wide variety of people.

• An aptitude for evaluating, analyzing, and interpreting information.

Excellent skills in the areas of: 

• Customer service 

• Investigation techniques

• Organization

• Time management and the ability to multi-task

• Verbal and written communication 

• Negotiation and reserving

• Innovative thinking

• Current Claims Adjuster licenses in one or more states preferred but must be willing to obtain additional state licensures.

 EXPERIENCE & EDUCATION:

• Bachelor’s Degree or equivalent experience required.