Please do not apply if your claims experience is related to medical billing, this position is for property & casualty claims adjusting, thank you.
The Claims Specialist for this long standing established Managing Insurance Agency/TPA claims unit will review all program claim files for completeness, investigate files, analyze liability, damages, suggest reserves, manage litigation, develop resolution strategy and negotiate settlements as per agency/company best practices. Position will also involve reporting of serious injuries, catastrophic cases, frequent discussions and case presentations with TPA management and insurance carrier representatives on cases. Additionally, this position will require managing relationships with various vendors and defense counsel.
High School Diploma or higher and at least five years of recent property/liability claims experience for a TPA or insurance carrier.
Strong knowledge of liquor liability and general liability claims and medical terminology.
Knowledge of multi-state litigation, statues, venues and applicable laws.
Adjuster licensing in various states preferred.
Proficiency in Microsoft Office Suite and strong written and verbal communication skills.
- Performance Expectations:
Review claims for proper investigation, reserves and analysis.
Manage outside investigators and counsel , review invoices for accuracy.
Properly prepare large loss reports per company requirements.
Properly bill for time spent working on TPA claims files.
Demonstrate an ablility to prioritize, meet deadlines, and multitask while promoting efficiency and effectiveness with caseload.
Demonstrate a strong attention to detail and a commitment to customer service.
Additional duties and specific projects as assigned.
Benefits include: medical/dental/vision plans, life and accident insurance, and 401(K)
Job Type: Full-time
Pay: $50,000.00 - $80,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Ability to commute/relocate:
- Brick, NJ 08724: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Claims Adjusting (Not Medical Billing): 1 year (Required)
License/Certification:
- Claims Adjuster License (Required)
Work Location: In person