Claims Specialist
Where
- Harrisburg, PA
What you'll be doing
- Utilizes various methods of settlement in those cases where warranted; assigns cases to outside vendors as warranted. Appropriate use of structure settlement on all applicable cases. Promptly and effectively handles to conclusion all assigned claims with moderate direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service. Initiates and conducts follow-ups via proficient use of claims systems and related business systems. Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned liability/bodily injury claims cases in accordance with company policies and procedures at values commensurate with damages sustained. Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends special reserves where necessary. Submits severe incident reports, reinsurance reports and other information to claims management as needed. Adheres to high standards of professional conduct while providing delivery of superior claims service.
What your background should be
- One to three years of customer service and claims processing/handling experience preferred. Bodily injury claims experience preferred. State licensing where required. Successful completion of required claims certification schools/classes. General knowledge of insurance theory and practices, insurance contracts and their application. General knowledge of causality claims best practices, medical terminology and liability analysis preferred. Proven knowledge of insurance contracts, medical terminology and the legal aspects of court procedures affecting legal liability for all lines of insurance. Knowledge of claims systems.
Required Schooling / Training
- Undergraduate degree
Who is the client company
- This is a group of U.S. insurance and financial services companies.
- If you are interested in this position, send your resume to apply@kochdavis.com
