Casualty Claims Adjuster

Frankenmuth Insurance Company; Northern (KY); On-site; USD 52,000 - 65,000; Full time

Job summary

Frankenmuth Insurance Company is seeking a casualty claims investigator to work under limited supervision, evaluating bodily injury, property damage, and related coverage issues. The role involves independent judgment to resolve claims and ensure timely service to policyholders and agents.

Essential duties include investigating to determine liability, reviewing documentation, and maintaining claim reports. You will interact with insureds, witnesses, and attorneys, conduct interviews, and

Qualifications

• Experience handling casualty claims.
• Ability to follow policies and comply with regulations.
• Strong interviewing and documentation skills.
• Proactive in resolving claims and providing customer service.

Responsibilities

• Investigates casualty claims to determine liability and coverage.
• Reviews documents, statements, and reports to assess outcomes.
• Prepares reserve estimates and claim reports.
• Interacts with insureds, agents, claimants, and witnesses during investigations.

Skills

Claims investigation

Customer service

Communication

Interviews

Education

Bachelor's degree

Job description

Summary: Under limited supervision and with independent judgment, investigates, evaluates and resolves/disposes of casualty claims (INCLUDES BODILY INJURY (PREMISES SLIPS/FALLS & AUTO - both Commercial and Personal), PROPERTY DAMAGE to include GENERAL LIABILITY PROPERTY DAMAGE and CONSTRUCTION DEFECT)to determine the extent of company liability; may include determination and evaluation of coverage, compensability liability and damage in accordance with policy provisions by performing the following duties.

Essential Duties and Responsibilities:

1. Follows corporate policies, procedures, and fair claims handling practices
2. Investigates claims to determine validity and extent of liability, including:
   1. Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
   2. Reviews and evaluates documentation, including applications, reports, and statements
   3. Monitors appropriate claim outcomes through self-audit process
   4. Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
   5. Ensures legal, regulatory and fair claims handling compliance
3. Sets or recommends reserves based on results of claim investigation.
4. Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
5. May provide extensive interaction with insureds, agents, claimants, attorneys, and other service providers, including
   1. Conducts in-depth interviews and/or scene inspections
   2. Attends settlement conferences and/or trials
6. May serve as a member of project teams, contributing to the achievement of project objectives.
7. Provides leadership to junior staff by training and providing guidance. May provide input to management regarding junior staff performance.
8. Performs other duties as assigned.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Level 5: Four to six years related experience and/or training; or bachelor's degree (B.A.) from four-year college/university; or equivalent combination of education and related experience/training.