Claims Management Specialist
Location: Nashville, Tennessee
Description: Selective Insurance is presently looking of Claims Management Specialist right now, this job will be delegated in Tennessee. More complete informations about this job opportunity kindly see the descriptions. Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subro! gation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Receive claim assignments from assigned agents, verify applicability of coverage.
Determine appropriate methods and extent of needed investigation for all assigned claims and conduct investigation primarily through personal visits and ALS via phone, obtaining medical reports, appraisals, witness and claimant statements/interviews, visual evaluations or other necessary fact-finding methods in order to establish proper coverage.
Ensure proper file documentation and reporting of information secured as result of claim activity. Ensure rationale for settlement that is consistent with company procedures, reporting standards and guidelines, and may also be responsible for submission of claims forms and reports as required by outside agencie! s.
Evaluate and adjust claims within limit of assigne! d authority level. Consult with Claim Manager/Supervisor.
Determine extent of damages, coordinate and establish repair/damage figures. Enter into final settlement negotiations up to a limit of assigned authority levels and participate in litigation process in conjunction with defense counsel when necessary. Assess recovery potential. Develop information necessary to successfully pursue recovery.
Arrange medical examinations, contractors estimates, or other specialists appointments when necessary.
Act as liaison with attorneys, public adjusters, underwriting department, rehabilitation facilities, investigators or other service vendor as necessary to manage claim including attending trials, arbitration, ADR, conducting face-to-face negotiation.
Assist with monitoring quality of services rendered by appraiser, law firms, structured settlement vendors, rehabilitation vendors, etc. and make recommendations to manager/supervisor.
Estab! lish and maintain effective working relationships with corporate claims, SIU investigations, underwriting, and other corporate personnel to assist in the timely and efficient settlement of assigned claims.
Responsible for automobile travel within territory traveling to agent offices. Car travel represents approximately 40-50% of employee’s time.
College degree preferred or equivalent experience with 6-10 years experience in related claims handling.
Preferred:
1-2 years appraisal experience.
1 year data entry experience.
Excellent PC skills;
Excellent presentation and public speaking skills
Superior verbal and written communication skills;
Strong time management and organizational skills;
Self-starter with ability to work independently;
Ability to travel and work varying shifts
Ability to prepare own damage estimates.
Esure positive and effective relations! hips with all assigned agents.
Must have valid state-issued dr! iver’s license in good standing.
CPCU designation/course work, Senior Claims Law course work, or other industry training/designations preferred.
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If you were eligible to this job, please deliver us your resume, with salary requirements and a resume to Selective Insurance.
Interested on this job, just click on the Apply button, you will be redirected to the official website
This job will be started on: Fri, 05 Apr 2013 11:59:31 GMT
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