Liability Claims Adjuster

WALBEC Group
Published
February 18, 2024
Location
Waukesha

Description

Bachelor's degree or equivalent work experience of at least 3 (three) years Experience with Risk Management Systems (Stars, Origami) preferred Strong proficiency in Microsoft Office Ability to multi-task in a fast-paced environment and communicate clearly using various mediums is essential Strong communication and interpersonal skills Make sound judgment decisions along with the ability to establish and maintain timetables/deadlines while handling multiple demanding projects High level of discipline and a strong sense of responsibility and accountabilityValid driver's license and considered insurable by insurance standards Investigates multi-line claims of moderate to severe complexity, including claims in litigation Conducts claim and incident investigationsCommunicates with claimants to obtain information on claim and provide information on claim processCommunicates regularly with Safety, Project Managers and Field for claim and incident documentation Document and maintain claim files by entering claim/incident data into Risk Management Information System Sets timely, adequate reserves in compliance with the organizations reserving philosophy and methodologyResolves questions of liability and value of claimsSecures the necessary official reports, claim forms and documentsReviews bills, invoices, and receipts for accuracy Identifies opportunities for recovery and investigates and pursues accordinglyAssists in litigation, mediations, and arbitrationsCompiles claim reports for Management review to assess liability, claim denial, settlement valuation/authority requests, and/or defense position Proven, excellent knowledge of the theory and practice of the claim functionAnalytical ability and sound judgment with respect to liability and coverageKnowledge of contract and medical terminology, with minimal legal aspects of court procedures Assists with creating claim/safety reports in Origami Cross-coverage, worker's compensation, owned auto and property, when necessary Occasionally assists with special projects or assignments with Safety and Legal

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