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Claims Adjuster – Automobile - Jobs in Dartmouth

Job LocationDartmouth
EducationNot Mentioned
SalaryNot Mentioned
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypeContract

Job Description

Job DescriptionWhat You’ll Do:The Claims Adjuster - Automobile is responsible for serving the members through the investigation and settlement of minor to moderate automobile claims. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability and quantum ensuring fiduciary, regulatory and contractual compliance, and adhering to organization service standards, operational targets and core competencies.Reporting to the Assistant Manager, you’ll be responsible for:

  • Delivering a superior customer experience which includes responding to all general inquires, initiating and maintaining contact with insured members, and assisting with commodity claims overflow.
  • Confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, completing contractual auto coverage analysis and assessing quantum, reviewing subrogation opportunities, negotiating and resolving automobile insurance claims of minor to moderate nature in a timely manner.
  • Coordinating, directing and following up on work activities performed by outside service providers to completion.
  • Ensuring all correspondence is completed in a time efficient/effective manner including the creation of Critical Path, Proof of Loss, waivers and reservation rights letters.
  • Gathering information from insured members, civil authorities, police, witnesses and other insurers to complete a timely investigation of the motor vehicle accident.
  • Maintaining quality service and adheres to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, questionable claims, and creating defined disposition plans for future handling leading to file closure.
  • Assisting and participating in all dispute forums related to policy coverage on behalf of key stakeholders. Providing support and assembling documentation on items in dispute along with resolution recommendations.
  • Keeping claims information confidential to protect operations and insured members.
  • Ensuring data integrity, issuance of payments to vendors, insureds and experts and maintaining well-organized claim file while ensuring accuracy of data input.
  • Adhering to partner #39;s guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
  • Actively participating in coaching and training sessions and collaborating with team members and management.
  • Taking an active role in creating an environment of continuous improvement of work efficiencies and highlight value work.
  • Performing other duties within competence, as assigned

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