Claims - Casualty Specialist II

US-FL-Tampa
Job ID
2017-7390
Category
Claims Adjusting
Type
Regular Full-Time

Overview

 

If you want to be part of a growing company, have zero to one year casualty claims adjusting including bodily injury experience and have a focus toward great customer service...Acceptance Insurance would like to talk with YOU!

 

Position Summary:

 As Casualty Specialist II, your role is responsible for investigating and settling vehicle accident claims over the phone and through written correspondence. This level of adjuster will handle claims that require intense coverage or liability investigations. These claims may involve multiple vehicles, excess property damage exposures and first call injury settlements. As an Extended Claims Handler, you will also serve as a mentor to level I and level II Property Claims Adjusters and may assist in their training and development.

 

As a Team Member at Acceptance Insurance, you will be part of growing organization that continues to evolve and positively impact the lives of our customers.

 

Acceptance Insurance offers a full line of benefits including: Health Insurance, Dental, Vision, Paid Vacation, Disability Insurance and Employer Matching 401(k) Program.

 

Company Overview:

We are principally a retailer, servicer and underwriter of non-standard personal automobile insurance based in Nashville, Tennessee. Our insurance operations actively generate revenues from selling non-standard personal automobile insurance policies and related products in 16 states. We currently conduct our servicing and underwriting operations in 13 states and are licensed as an insurer in 13 additional states.

 

At March 31, 2017, we leased and operated 355 retail locations and a call center staffed with employee-agents. Our employee agents primarily sell non-standard personal automobile insurance products underwritten by us, as well as certain commissionable ancillary products. In most states, our employee-agents also sell a complementary insurance product providing personal property and liability coverage for renters underwritten by us. In addition, retail locations in some markets offer non-standard personal automobile insurance serviced and underwritten by other third-party insurance carriers for which we receive a commission. In addition to our retail locations, we are able to complete the entire sales process over the phone via our call center or through the internet via our consumer-based website or mobile platform. On a limited basis, we also sell our products through selected retail locations operated by independent agents. 

 

 

Learn more:

Visit us at www.acceptanceinsurance.com

Responsibilities

  • Complete Bodily Injury Evaluation forms and make recommendations for the disposition of claims in excess of individual settlement authority.
  • Evaluate policy coverage, contact insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.
  • Document computer log with results of review and intentions for handling.
  • Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody, determine inspection needs, order police reports, scene investigation, take witness statements, review material damage photos, order medical reports, etc.) to analyze coverage, determine liability, compensability, and extent of damages.
  • Compile information for decision making with discussion of claims committee where appropriate.
  • Evaluate the medical injury exposure within guidelines, obtain authority when appropriate and make proper and timely payments.
  • Maintain accurate records and handle administrative responsibilities associated with processing and payment of claims.  Record and update status notes, and document results of contacts, relevant medical reports and duration information per Best Practices.
  • Determine need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers.
  • Respond timely and appropriately to all settlement demands.
  • Keep internal and external customers advised of file status and other matters as required.
  • Evaluate claim for potential fraud and work with Special Investigations Unit as required.
  • Assess actual damages associated with claims and conduct negotiations to settle claims.
  • Determine if subrogation exists and take steps necessary to initiate recovery efforts.
  • Performs other duties as assigned.

Qualifications

Skills required to perform the job:

  • Demonstrates proficiency in the investigation, analysis, evaluation and negotiation including interpretation of coverages.

 
Qualifications required for the job:

  • Possesses strong customer service skills and behaviors.
  • Makes decisions in an informed, confident and timely manner.
  • Maintains constructive working relationships despite differing perspectives.
  • Possesses strong organizational and time management skills.
  • Ability to negotiate skillfully in difficult situations with both internal and external groups.
  • Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
  • Understanding of applicable statutes, regulations and case law.
  • Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
  • Easily adapts to new or different changing situations, requirements or priorities.
  • Cultivates an environment of teamwork and collaboration.
  • Operates with latitude for un-reviewed action or decision.
  • Computer experience (MS Office, excel, word, etc).
  • Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits.

Years of Experience Requirements

  • Minimum of two (2) years of bodily injury/casualty claims handling experience.

 Education Requirements

  • College Degree preferred or equivalent experience.

 Competencies Required

  • Demonstrates proficiency in the investigation, analysis, evaluation and negotiation including interpretation of coverages.

 

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