Senior Claims Adjuster

Ruan Transportation Management Systems; Des Moines (IA); Híbrido; USD 55.000 - 85.000; Jornada completa

Descripción de la vacante

Ruan Transportation Management Systems in Des Moines, IA is seeking an experienced claims professional to analyze, investigate, and resolve workers' compensation, auto liability, physical damage, and cargo claims.

The role may involve mentoring other members of the claims team and working in a hybrid environment with in-person and remote duties during the week.

Formación

• 3+ years auto liability claims experience required.

Responsabilidades

• Investigate workers' compensation, auto liability, physical damage, and cargo claim damages.
• Interview or correspond with all parties to the loss.
• Examine photographs, surveillance video, statements, medical records, and other documents to determine damages.
• Consult with law enforcement to determine liability if necessary.
• Oversee the action of the third party administrator to ensure compliance with claim handling instructions.
• Recommend acceptance or denial of claim within authority.
• Oversee negotiations for potential claim settlement within authority.
• Collaborate with legal counsel in contested cases; produce supporting documentation.

Conocimientos

Auto liability claims

Claims investigation

Mentoring team

Descripción del empleo

This positions offers hybrid work: mix of in person and remote work each week

Schedule: Monday - Friday

Hours: Regular Business Hours + On Call

Experience: 3+ years auto liability claims experience required

Responsible for the analysis, investigation, evaluation, and resolution of workers' compensation, auto liability, physical damage, and cargo claims. May be assigned more complex claims with larger potential exposure. Provides guidance and mentor others on the claims team.

Responsibilities: Carrying out the Company's organizational values and operating in accordance with applicable laws, regulations, and Company policies are required functions. Essential and other important responsibilities and duties may include, but are not limited to, the following:

• Investigate workers' compensation, auto liability, physical damage, and cargo claim damages. Interview or correspond with all parties to the loss. Examine photographs, surveillance video, statements, medical records, and other supporting documents to determine damages. If necessary, consult with law enforcement to determine liability.
• Determine if additional services are needed to bring the claim to resolution and provide appropriate referrals: environmental services, independent adjuster, nurse case manager, and legal counsel.
• Oversee the action of the third party administrator to ensure compliance with Ruan's claim handling instructions.
• Recommend acceptance or denial of claim within authority.
• Oversee negotiations with claimant or injured worker for potential claim settlement within authority.
• If claim is contested, collaborate with internal and external legal counsel to defend Ruan's position. Produce documentation to support Ruan's position. May require participation in legal proceedings
• Maintain file documentation and all required reports; including OSHA, DOT, and post-accident drug and alcohol testing.
• Monitor for appropriate claim reserves. Make recommendations for adjustments as necessary.
• Protect and pursue subrogation when appropriate.
• Perform other job-related duties and special projects as required.