- Analyzes coverage and settles moderately complex claims in one or more of specialty claims areas.
- Generally, incumbent does not work on workers compensation claims.
- Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations.
- Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
- Creates reservation of rights and coverage denial letters.
- Negotiates settlements with clients, client attorneys, and Public Adjusters.
- Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
- Prepares reserve and settlement authority requests for client and carrier approval.
- May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
- Has a solid understanding of claims processing and the insurance brokerage business.
- Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry.
- Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements.
- Incumbents at this level should be able to work at full case load capacity.
- Minimum of 5-10 years related claims experience required
- Knowledge of accepted industry standards and practices.
- Computer experience with related claims and business software.
- Must have FEMA claims experience
- Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation
- Soft Tissue BI claims to complex Bodily Injury claim experience
- Commercial Property damage experience
- Litigation experience null
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FELA Claims Adjuster - Rolling Meadows, United States - Insight Global
Description
Job DescriptionInvestigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves.
Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.
We are an equal opportunity/affirmative action employer that believes everyone matters.Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.
If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to .
To learn more about how we collect, keep, and process your private information, please review Insight Global'sWorkforce Privacy Policy:
om/workforce-privacy-policy/ .
Skills and Requirements
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.
We are an equal employment opportunity/affirmative action employer that believes everyone matters.Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances.
If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to
