Our Client, a Business Solutions company, is looking for a Claims Adjuster - Auto for their Charlotte, NC/Remote location.
Responsibilities:
- Analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.
- Process complex auto, commercial, and personal line claims, including bodily injury, ensuring claim files are properly documented and coded correctly.
- Manage litigation processes on litigated claims.
- Coordinate vendor management, including the use of independent adjusters to assist in claim investigations.
- Report large claims to excess carriers.
- Develop and maintain action plans to meet state-required contact deadlines and facilitate prompt claim resolution.
- Identify and pursue subrogation and risk transfer opportunities; manage salvage disposal.
- Communicate claim actions and processing updates with insureds, clients, and agents or brokers as appropriate.
- Perform additional duties as assigned.
- Support the organization's quality programs.
Requirements:
- Active NY license and BI litigation experience.
- Property & Casualty license for resident state, with bodily injury liability experience in auto or general liability.
- Experience with auto casualty claims.
- Proven experience in complex liability and coverage issues.
- TPA experience is a plus.
- Experience handling bodily injury, uninsured, and underinsured motorist claims, including serious injuries such as fatalities, fractures, and traumatic brain injuries.
- Handling claims with a threshold of up to $1 million.
- No-fault (Personal Injury Protection) experience.
- Litigation experience related to BI/UM/UIM; minimum of 3 candidates required to have this experience.
- Experience with auto physical damage claims is preferred.
- Ability to work in a fast-paced environment, presenting cases to internal and external stakeholders.
- Bachelor's degree from an accredited institution preferred; professional certifications relevant to the line of business are also preferred.
- Must maintain state adjusting licenses as required.
- At least 5 years of claims management experience or equivalent, with in-depth knowledge of personal and commercial auto policies, coverage principles, and laws.
- Knowledge of medical terminology for claim evaluation and Medicare compliance.
- Understanding of deductibles, sub-limits, SIRs, carrier, and large deductible programs.
- Strong communication, presentation, organizational, interpersonal, and negotiation skills.
- Proficiency in Microsoft Office and PC literacy.
- Ability to work collaboratively in a team and meet or exceed service expectations.
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA supports and encourages the abilities of all persons regardless of race, color, religion, gender, sexual orientation, gender identity, ethnicity, national origin, age, disability, political affiliation, genetics, marital status, veteran status, or any other characteristic protected by law.