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Edge Claims LLC

PURPOSE OF THE POSITIONThe Auto Liability/Physical Damage Adjuster is responsible for handling minor to moderately complex Casualty Commercial Claims (Auto and General Liability). This role involves investigating, assessing, and resolving Casualty claims efficiently.Auto Liability/Physical Damage Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by managing commercial auto claims and liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution and negotiation strategies of moderate complexity claims in compliance with established company technical and customer service best Practices. Under limited supervision, works within specific limits and authority to resolve claims with well-defined procedures.RESPONSIBILITIES<ul><li>Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimant, witnesses, and producers.</li><li>Verifies coverage and policy conditions. Reviewed coverage issues as needed with supervisor. Typically utilized standardized language to draft positions if needed.</li><li>Depending on the type of claims, you may interact internally with Subrogation, Managed Care or SIU or externally with police or others to get information.</li><li>Establishes reserves based on estimating outcome of a claim based on the facts for the case and company standards. Adjust reserves based on fact, company standard and experience.</li><li>Effectively settles and negotiates non-litigated claims.</li><li>Builds critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues.</li><li>Establishes and maintains effective relationships with customers and gains their respect and trust.</li><li>Demonstrates ability to learn technical materials and learns from mistakes in order to achieve best possible outcomes for claimant, customer, and company.</li><li>Writes in a clear, succinct, and fact-based manner in Claims files as well as in other communication.</li><li>Manages time and diary entries effectively and efficiently, prioritizing work in a fast-paced environment.</li><li>Performs other functional duties as assigned.</li></ul>RequirementsKNOWLEDGE, SKILLS AND ABILITIESCandidates Must Have:<ul><li>Decisive and purposeful.</li><li>Strong moral character and work ethic.</li><li>Independent and self-starting.</li><li>Strong verbal and written communication skills.</li><li>Ability to thrive in a &ldquo;fast pace,&rdquo; challenging environment.</li><li>Ability to show initiative, exhibit a &ldquo;can do&rdquo; attitude, and provide ideas while working within a team environment.</li><li>Ability to successfully manage a high-volume case load.</li><li>Ability to effectively negotiate; and use stated adjuster authority efficiently.</li><li>Ability to simplify, analyze and explain complex coverage and legal issues.</li><li>Ability to be able to review processes and determine opportunities for improvement.</li><li>The ability to manage time, meet deadlines and prioritize.</li></ul>REQUIRED<ul><li>Bachelor's degree/or equivalent work experience (with high school diploma).</li><li>Has Commercial Auto Insurance Claims Handling Experience</li><li>4 years&rsquo; related claim experience required.</li><li>Appropriately licensed and/or certified in all states in which claims are being handled.</li><li>Highly Organized and excellent time management skills required.</li><li>Excellent oral, written, and interpersonal communication skills.</li><li>Excellent MS Office, Word, Power Point, and Excel expertise.</li></ul>The above statements are intended to describe the general nature and level of work being performed by the incumbents of this job. They are not intended to be an exhaustive list of all responsibilities and activities required of this position.Benefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul>Work Location: In person

Claims Adjuster, Auto Liability/Physical Damage

PURPOSE OF THE POSITIONThe Bodily Injury Claims Supervisor is responsible for day-to-day leadership of an assigned team comprised of 6-8 Bodily Injury claims adjusters. They exercise strong critical thinking skills, judgement, and initiative in the proper resolution of claims. They are responsible for the consistent delivery of high-quality claim handling and customer service from their team/unit. The Bodily Injury Claims Supervisor ensures their team follows regulations, Company policy, and all applicable licenses required for adjusters. They are leaders who positively influence their team, coaching and guiding staff through changes in the organization and industry. They create an environment where teamwork and entrepreneurial spirit flourish, resulting in outstanding achievement of team, unit, division, and Company goals.As a member of the leadership team, the Bodily Injury Claims Supervisor sets an example for an environment built on accountability, teamwork, professionalism, personal development, and proactivity toward improving performance and contributions to the Company&rsquo;s success. They possess the ability to act with great integrity, professionally representing the organization to internal and external customers, safeguarding systems, and information within their control against fraud, malware, and cyberattacks. Maintains strict confidentiality with sensitive information and handling of employee matters.Additionally, the Bodily Injury Claims Supervisor will communicate information to Senior Management and other key members of the claims or legal management team as required on claim files that have unusual circumstances and/or excess exposure potential.RESPONSIBILITIESPlanning<ul><li>Provide clear daily goals and solutions to overcome challenges impacting the completion of work and customer service.</li><li>Develop plans to ensure claims are adjudicated within established expectations, aiming to exceed them whenever possible.</li><li>Engages their team to be aware and knowledgeable of their impact on others and the Company&rsquo;s success while instilling a sense of desire to adapt to change and the evolving needs of the customer and agent.</li></ul>Team Oversight Leadership<ul><li>Leverage individual differences to champion a diverse, inclusive, caring, and trusting work environment for all. Encourages staff to professionally challenge the status quo, identify improvements, and provide suggestions to implement solutions.</li><li>Decisions demonstrate a solid appreciation for improving the performance of their team while promoting a teamwork approach to accomplish goals and the success of the Claims organization.</li><li>Accountable for working within their authority to make sound decisions.</li><li>Able to understand the vision and provide staff with clarity to connect their role to the purpose of their work. Supports the entire vision, generating buy-in across their team.</li></ul>Performance ManagementAchieves quality, productivity, and acceptable customer service results by following leading practices and procedures, management direction, and effective performance management of their team.Lead and manage a team of six (6) to eight (8) commercial lines claims adjusters to ensure performance metrics, best practices and KPIs set by the company are met or exceeded on a monthly and quarterly basis.Provide direction, leadership and training to the adjusting staff.Provide necessary direction and oversight to claims staff regarding coverage, investigations and evaluations on all claim files within the units and oversight of claims resolution strategies.Provides management oversight of claims files (non-litigated or litigated) within the unit, to include supervisor reviews on open inventory and reviews files to measure quality assurance discusses individual training and development needs.Provide reserve and settlement authority to the claim&rsquo;s adjusters pursuant to the company&rsquo;s established guidelines or procedures.Attend monthly management meetings as required.Maintain 100% compliance with claim adjuster licensing.KNOWLEDGE, SKILLS AND ABILITIESEducation / Licensing / Experience:&middot; Bachelor's degree/or equivalent work experience (with high school diploma).&middot; Minimum of 7+ years auto bodily injury claims experience, along with prior 3-5 years of claims supervisory experience.&middot; Texas Adjuster license required.Technical Skills:&middot; Requires ability to negotiate claims.&middot; Strong technical and administrative background in auto claims handling.&middot; Ability to work independently on technical and administrative matters in accordance with company policy and procedures&middot; Must have interpersonal skills to handle sensitive and confidential situations and information.&middot; Requires excellent organization and time management skills.&middot; Must be detailed oriented.&middot; Must be able to maintain a high level of accuracy.&middot; Excellent oral, written and interpersonal communication skills.&middot; Effective and efficient use of computer applications including MS Office products.<ul><li>The above statements are intended to describe the general nature and level of work being performed by the incumbents of this job. They are not intended to be an exhaustive list of all responsibilities and activities required of this position</li></ul>Benefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Claims Supervisor, Bodily Injury

Join Edge Claims LLC and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Edge Claims LLC

About Company

Claims Adjuster, Auto Liability/Physical Damage

Claims Supervisor, Bodily Injury