Liability Adjuster

 Wednesday, November 28, 2018

  Employment Status Full Time

  Education Requirement • High School Diploma • Bachelor's degree preferred. • South Carolina Independent Adjuster License

  Position Requirement • Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations
• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
• Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

  Salary Based on Experience

Benefits: Available

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• Manage liability claims with minimal supervision, including the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves.
• Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
• Manage subrogation of claims and negotiate settlements.
• Able to clearly communicate claim action plans and present plans for moving the case to conclusion.
• Maintain professional client relationships.
• Exercise proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim.
• Interact extensively with various parties involved in the claim process.
• Handle claims consistent with clients' and corporate policies, procedures and "best practices" and in accordance with any statutory, regulatory and ethics requirements.
• Document and communicate all claim activity timely and effectively and in a manner which supports the outcome of the claim file.
• Demonstrated ability to comply with carrier reporting and threshold requirements.
• Able to recognize and pursue excess insurance recoveries.
• Ability to handle a full case load with proven ability to handle cases of increased severity.
• Periodically attend mediations as a representative of the insurance carrier.
• Conduct scene investigations, including taking photographs & sketching diagrams, etc.
• Manage files in litigation.
• Perform other duties as assigned.
• Travel as required.