Casualty Claims Examiner

AssuranceAmerica Corporation; Tampa (FL); Hybrid; USD 55.000 - 90.000; Vollzeit

Zusammenfassung

AssuranceAmerica Corporation seeks a Casualty Claims Examiner to oversee complex and large exposure losses across multiple locations. The role reports to the National Casualty Claims Manager and provides direction to claims staff to ensure compliance with best practices and state/local guidelines.

You will review files, guide handling, and participate in audits and training to improve performance and regulatory alignment.

Qualifikationen

• Minimum 5 years of adjusting claims.
• At least 2 years adjusting/overseeing casualty claims with high complexity.
• Prior claims management experience and/or auditing preferred.

Aufgaben

• Review home office casualty files and provide direction to ensure handling follows best practice guidelines and local jurisdiction regulations.
• Provide guidance to claims staff to ensure proper handling and risk mitigation.
• Provide authority and guidance on all bodily injury claims regarding coverage, liability and damages.
• Collaborate with claims staff, front line management, senior management and legal counsel.
• Assist in designing and delivering casualty training to ensure compliance and proper claim handling.

Kenntnisse

Communication

Analytical

Leadership

Teamwork

Prioritization

Ausbildung

Bachelor’s degree or equivalent

Jobbeschreibung

## Casualty Claims ExaminerApply: ATLANTA, GA: TAMPA, FL: BIRMINGHAM , AL: Full time: Posted 2 Days Ago: JR100460Job SummaryThis position is responsible for the oversight of complex and large exposure losses and will report to theNational Casualty Claims Manager. The Casualty Claims Examiner will work alongside claims management,providing direction and oversight ensuring that compliance with best practices and state/local guidelinesis achieved. In addition, this position will report findings and make recommendations on current practicesincluding the claim department’s performance on meeting regulatory standards.Job Responsibilities· Review home office casualty files, provide direction as required to ensure that handling is withinbest practice guidelines and local jurisdiction regulations.· Responsible for providing guidance and direction to claims staff in order to ensure properhandling and risk mitigation.· Provide authority and guidance on all bodily injury claims regarding coverage, liability anddamages, as required.· Provide feedback to leadership and adjusting staff as required for continually improved filehandling.· Responsible for collaboration with claims staff, front line claims management, senior claimsmanagement and legal counsel.· Available to answer questions and participate in roundtable discussions with claims staff andmanagement to provide feedback and guidance on claim handling procedures.· Complete research pertaining to complex coverage issues, industry trends, and related topics.· May assist with targeted audits of a particular process or function (e.g. total loss handling, BIevaluations, cycle times, regulatory reviews, customer service skills, etc.) and/or managementre-audits to verify calibration and accuracy of the first level reviews completed.· Assist in designing and delivering casualty training as needed to ensure compliance and proper claim handlingJob QualificationsFormal Education & CertificationBachelor’s degree or equivalent work experienceKnowledge & Experience· A minimum of five years of adjusting claims. At least two years adjusting/overseeing casualtyclaims with high complexity.· Prior claims management experience and/or auditing preferred.Skills & Competencies· Communication and analytical ability at a level to interact with associates, managers, agents andvendors.· Demonstrated team building and coordination skills.· Must possess strong interpersonal skills and the ability to present critical information to SeniorManagement.· Ability to manage multiple priorities and work independently.· Leadership abilities are necessary, with the ability to make autonomous decisions based onmultiple facts.· Must be able to work in a fast-paced automated production environment and possesssolid planning and organizational skills including time management, prioritization, andattention to detail.· Must meet company guidelines for attendance and punctuality and professionalappearance/decorum.This job description indicates the essential responsibilities of the job. The duties described are not to beinterpreted as being all-inclusive to any specific associate. Management reserves the right to add to,modify, or change the work assignments of the position as business needs dictate. Reasonableaccommodations may be made to enable individuals with disabilities to perform the essential functions ofthe job. This job description does not represent a contract of employment. Employment withAssuranceAmerica is at-will. The at-will relationship can be terminated at any time, with or withoutreason or notice by either the employer or the associate.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.