Description
As Anchor General continues to grow, we seek to employ and develop talented claims professionals that seek to advance a claims team that focuses on delivering an empathetic voice and provide exceptional customer service by achieving a prompt, fair and equitable settlement according to fair claims handling requirements. In this role, you will investigate, evaluate, and negotiate claims of varying complexity.
An ideal candidate is an experienced claims professional who will fulfill the critical role of being part of our growth. Additionally, the candidate should have knowledge of contracts, investigation, and determination of coverage, liability, damages, and the setting of proper reserves. This may also include the ability to investigate, evaluate and negotiate bodily injury claims with both attorney represented claimants as well as claimants without attorney representation.
Duties and Responsibilities:
- Empathize and assist our customers that have been involved in an auto accident.
- Evaluate losses utilizing critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling claims by using the claim report, the insurance policy and administers applicable state statues in accordance with established company guidelines.
- Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss.
- Engages and manages with parties involved in the claims process by determining facts, causation, damages, and exposure; monitors costs to endure they are reasonable and necessary.
- Keeps the insured and others informed about the claim’s status with patience, clarity, timely and accurate written/verbal communications to resolve claims efficiently and effectively.
- Confirms or denies coverage of the claim based on the facts and the policy terms and conditions.
- Develops information necessary to make advance, partial and final payments when appropriate.
- Effectively negotiates the settlement of claims of varying complexity with little direction and more complex claims under the direction of their supervisor/manager.
- Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability.
- Maintains a diary system for file review and document files to reflect status of work performed on the file.
- Documents and communicates all claims activities timely and effectively and in a manner which supports the outcome of the claims file.
- Detail-oriented role with the flexibility to adapt to business needs as assigned by Supervisor/Manager.
Qualifications
To be successful an individual must have a disciplined approach to all job-related activities. A solid foundation of personal organization, sound decision making and analytical skills, customer service skills, and a clear understanding of team commitment are required. Previous experience in the workplace, academics, or school sponsored extra-curricular participation that provided an opportunity to develop are preferred skills. This individual should demonstrate the ability to communicate in a clear manner, possess excellent people skills and must also demonstrate confidence in their decision-making ability. A college degree is preferred, but not required.
- Two or more years of experience preferred in insurance automobile claims experience.
- Active Texas adjuster’s license.
- Exercise sound financial judgment and discretion in handing insurance claims.
- Knowledge of automobile claims, coverage evaluation, claims investigation, loss assessment, evaluation and reserves, insurance regulation, negotiation, and settlement.
- Knowledge of investigation management including, but not limited to, taking, and using recorded statements, determining coverage and application of coverage to claims, negotiation and resolution of claims.
- Arizona, California, Oregon and, Washington claims knowledge a plus.
- Self-directed individual who works well with minimal supervision.
- Must have strong analytical skills necessary to make decisions, resolve issues inherent in handling claims effectively by dealing with situations at various levels of intensity and reach a resolution.
- Must be able to interpret insurance policies and various contracts, perform analytical research and make sound decisions using good judgment.
- Excellent oral, written, and interpersonal communication skills.
- People skills and ability to work with all levels of the organization.
- Flexibility to adapt to business needs as assigned by Supervisor/Manager.
- Ability to effectively operate a computer and have working knowledge of MS Office applications.
- Ability to learn multiple software applications.