Claims Technical Consultant
Location: Madison, WI
Company: Meemic Insurance
5/23/2013
 
Company Website:
 
Job Listing:
 
Contact E-Mail:
 
jobs at meemic dot com
Employment Status:
 
Full Time
Position Type:
 
Other
Managerial Position:
 
No
Required Experience:
 
Experience in: 8. Operating a personal computer 9. Utilizing software packages (e.g. word, excel, access, power point, visio, etc.) 10. Accurately writing manual and electronic estimates 11. Developing and conducting training programs on auto physical damage processes 12. Evaluating and handling contents claims 13. Accurately re inspecting structural losses before, during and after repair 14. Accurately writing manual and electronic estimates on repairable and total loss dwellings
Required Education:
 
1. College level coursework in business administration, insurance or a related field or the equivalent in related work experience. 2. Successful completion of a comprehensive training program to include negligence, coding/reserves, general claim handling and negotiation skills. 3. Candidates must be eligible to acquire and maintain a state adjuster's license for appropriate state(s). 4. Successful completion a comprehensive training program to include automobile damage estimating, electronic estimating, automobile repair training, and automobile policy composition and analysis. 5. Experience as a claim representative/auto appraiser, public or private investigator or equivalent. 6. Successful completion of a comprehensive training program to include homeowner policy, settlement alternatives and techniques, and industry terminology. 7. Claims experience to include knowledge of policy provisions, principles and concepts related to all phases of homeowners claim handling.
Position Requirements:
 
Description: Coordinates, supports and monitors various activities within assigned claim area to ensure success in achievement of goals. Identifies objectives, requirements and evaluates alternatives and achievement of objectives. Integrates activities and resources with other claim initiatives. Provides analytical skill/content knowledge to aid project team staff in the development of innovative and effective recommendations. Provides assistance to claims management in a variety of functions, which may include activities such as monitoring claim activities to ensure adherence to claim practices. Monitors the effectiveness of claims programs, policies, procedures and makes recommendations for improvement and/or correction of deficiencies. Ensures adherence to claim quality service standards and internal controls. Identifies and recommends improvement opportunities in the line, from goal planning through implementation phases. Acts as subject matter expert and participates in the control of compliance process. Regularly researches, analyzes and communicates industry benchmarks and trends to continuously improve claim operations. Develops and monitors cost reductions and/or cost containment measurements. May review claims in assigned area of responsibility (auto physical damage, personal injuries/liability and homeowners Required: 1. College level coursework in business administration, insurance or a related field or the equivalent in related work experience. 2. Successful completion of a comprehensive training program to include negligence, coding/reserves, general claim handling and negotiation skills. 3. Candidates must be eligible to acquire and maintain a state adjuster's license for appropriate state(s). 4. Successful completion a comprehensive training program to include automobile damage estimating, electronic estimating, automobile repair training, and automobile policy composition and analysis. 5. Experience as a claim representative/auto appraiser, public or private investigator or equivalent. 6. Successful completion of a comprehensive training program to include homeowner policy, settlement alternatives and techniques, and industry terminology. 7. Claims experience to include knowledge of policy provisions, principles and concepts related to all phases of homeowners claim handling. Experience in: 8. Operating a personal computer 9. Utilizing software packages (e.g. word, excel, access, power point, visio, etc.) 10. Accurately writing manual and electronic estimates 11. Developing and conducting training programs on auto physical damage processes 12. Evaluating and handling contents claims 13. Accurately re inspecting structural losses before, during and after repair 14. Accurately writing manual and electronic estimates on repairable and total loss dwellings Knowledge of: 15. Essential insurance act 16. Fair trade practice act as it relates to claims 17. Claims quality standards 18. Current claim operations and handling procedures 19. Claims terminology and processing systems 20. Subrogation procedures 21. Project management tools (e.g. issues log, risk assessment, project plans, etc.) 22. Measurement tools for monitoring goal achievement 23. Problem identification and resolution techniques 24. Litigation process as related to insurance and court procedures 25. Negligence, tort and criminal law 26. Insurance regulations and salvage acts 27. Multiple state legislative environments 28. Interstate commerce 29. Salvage disposal operation 30. Automobile title laws 31. Indicators of fraudulent activities 32. Industry claim handling procedures related to general and auto physical damage claims 33. Automobile nomenclature, construction and repair methods and techniques 34. Claim quality service standards as they pertain to auto physical damage 35. Indicators of fraudulent activities 36. Home construction/repair, product and labor cost and alternative methods of repair 37. Industry claim handling procedures related to property claims Ability to: 38. Analyze and summarize data 39. Plan and control work flow 40. Perform mathematical calculations to include percentages, fractions and decimals 41. Format and prepare written reports 42. Communicate effectively with others in a work environment and with the public 43. Prepare and present recommendations to all levels of management 44. Work in a team environment 45. Coordinate and control the activities of a project team 46. Think strategically 47. Research, identify and resolve complex business problems 48. Research and analyze industry benchmarks and make recommendations 49. Analyze and define resource and skill requirements for projects 50. Make decisions 51. Facilitate team building 52. Influence others through oral and written presentations 53. Work under pressure 54. Safely operate a motor vehicle 55. Evaluate and handle large contents claims 56. Valid driver's license. 57. Willingness to travel, with overnight stays. 58. Willingness to work irregular hours, weekends and holidays. 59. Willingness to relocate. Preferred: 60. Bachelor's degree in business administration, finance, insurance or related field. 61. Completion of iia (insurance institute of america), cpcu, or other insurance coursework. 62. Successful completion comprehensive training program to include estimating building damage, material and labor determination, nomenclature and construction techniques and commonly used building materials. 63. Underwriting, product development, marketing or sales experience 64. Direct repair operation management and facilitation 65. Successful completion of basic claim representative training program to include no fault law, car policy, injury claim handling, medical terminology and interpreting medical reports. Experience in: 66. Interpreting medical reports to determine extent of injuries and exposure 67. Researching, analyzing and computing complex work loss and survivors loss claims 68. Evaluating liability claims based on damages and negligence to determine exposure 69. Overseeing litigated claims to conclusion 70. Presenting effective and persuasive testimony in civil and criminal litigation as needed Knowledge of: 71. Industry claim handling procedures related to general injury/liability claims 72. Claim quality service standards as they pertain to injury/liability claims 73. Human anatomy and medical terminology 74. Catastrophic and complex injury claims 75. Indicators of fraudulent claim activity
Job Details:
 
Coordinates, supports and monitors various activities within assigned claim area to ensure success in achievement of goals. Identifies objectives, requirements and evaluates alternatives and achievement of objectives. Integrates activities and resources with other claim initiatives. Provides analytical skill/content knowledge to aid project team staff in the development of innovative and effective recommendations. Provides assistance to claims management in a variety of functions, which may include activities such as monitoring claim activities to ensure adherence to claim practices. Monitors the effectiveness of claims programs, policies, procedures and makes recommendations for improvement and/or correction of deficiencies. Ensures adherence to claim quality service standards and internal controls. Identifies and recommends improvement opportunities in the line, from goal planning through implementation phases. Acts as subject matter expert and participates in the control of compliance process. Regularly researches, analyzes and communicates industry benchmarks and trends to continuously improve claim operations. Develops and monitors cost reductions and/or cost containment measurements. May review claims in assigned area of responsibility (auto physical damage, personal injuries/liability and homeowners
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