Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims.
Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary.
May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
Ensures that claims payments are issued in a timely and accurate manner.
Ensures that claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Performs other duties as assigned.
Job Requirements
Education: Bachelor's Degree or equivalent experience.
Field of Study: Liberal Arts, Business or a related discipline.
Experience: Generally, 6 months to 3 years of related experience.