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Investigates and resolves Liability, Workers' Compensation or Public-Damage-Recovery (subrogation) claims with generally less than $1,500 exposure ('fast-track' claims), while providing administrative support for those handling more complex claims (Specialists, etc.) by setting-up claim files, performing data-entry, setting-up payees as 'vendors,' processing claim payments, attaching documents to claims electronically, etc.
Investigates and either denies or negotiates/settles smaller Liability, Workers' Compensation or Public-Damage-Recovery (subrogation) claims (generally 'Fast track' claims) in accordance with best practices and company guidelines. Creates claim files in database for self and Specialists, perform data-entry, process claim payments to vendors and claimants, properly credit money received through Accounts Receivable process. Documents investigation results and all activity in appropriate claims management database. Scans and attaches documents to claims electronically for self and Specialists within team (Liability, Workers' Compensation or Public-Damage-Recovery). Interacts with vendors regularly (i.e.: those that repair vehicle rut damage, review medical bills for adherence to State workers' comp fee schedules). Interacts with internal field employees during claim investigations. Handles specific assignments and projects, such as maintaining DOT Vehicle Accident Log, tracking statistics/results on excel spreadsheets, coordinating department 'recycling' program, mailing Safety information to customers, distributing Claims instructional & contact packets of information to internal customers, serving on building Safety teams and as Fire Warden, presenting monthly status reports to management, etc. Participates in Safety training/reporting programs, on process improvement teams, on storm response teams and in acts of volunteerism.
Minimum education required of the position: High School Diploma or equivalent required. Desired: Associates degree.
Minimum experience required of the position: Associate Analyst-Claims: 3 years of property & casualty claims experience, litigation paralegal/secretarial work or equivalent experience. Associate Analyst-Claims, Sr: 7 years of property & casualty claims experience, litigation paralegal/secretarial work or equivalent experience.
Minimum knowledge, skills, and abilities required of the position: Ability to investigate, evaluate, resolve, document and report-on high volume of small Liability, Workers' Compensation and/or Public-Damage-Recovery (subrogation) claims. Understand elements of legal liability. Ability to communicate with all levels throughout an organization, accept push-back and criticism, say 'no' in response to customer/claimant/employee demands, prioritize work, operate word/excel/web-based/etc. computer applications, and understand when to bring issues to the attention of others through 'dotted-line' and formal reporting structures. Successfully answer required behavior-based questions.
Any certificates, licenses, etc. required of the position: Licensed Claims Adjuster (may be secured after period of employment begins). Desired: Claims, paralegal, administrative, secretarial, etc. certifications.