benefits administrator

bodily injury transportation claims adjuster Jobs in Atlanta

claims adjuster - trucking (apd) Jobs in Atlanta

claims adjuster - trucking (apd)

claims adjuster,tpa oversight Jobs in Atlanta

claims adjuster,tpa oversight

physical damage claims adjuster

Midway Insurance Management International

Midway Insurance Management International, Inc. provides Claims Management and Adjusting Services.We provide the solutions to the ever increasing demands of the insured, agents and brokers:<ul><li>Casualty</li><li>Transportation</li><li>Auto</li><li>Litigation Management</li><li>Program Management</li><li>Individual Claims Assignments</li><li>Consulting Services</li><li>Administration</li></ul>Position Overview:We are a third party administrator handling transportation programs. The programs involve first party physical damage, cargo and third party liability claims. This is an inside adjuster position, which involves assignment of appraisers and experts.Responsibilities &amp; Requirements:<ul><li>The candidate should possess knowledge of insurance and have the ability to conduct investigations, to resolve coverage issues and evaluate liability.</li><li>Claims Adjuster will be issuing the proof of loss, must know proper loss documentation.</li><li>Must be able to read and understand various insurance policies to determine coverage.</li><li>Claims Adjuster must be a motivated life-long learner and a self starter</li><li>Candidates must be able to review coverage, assess damages, negotiate settlements and properly conclude salvage and subrogation claims.</li><li>Candidate must have good computer skills and strong communication skills for file notes and to report to Underwriters.</li><li>Background in Transportation strongly preferred.</li><li>Bilingual preferred but not required.</li></ul>Job Type: Full-timePay: $55,000.00 - $75,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>Automotive Claims: 3 years (Required)</li></ul>License/Certification:<ul><li>Claims Adjuster's License (Required)</li></ul>Work Location: In person

Physical Damage Claims Adjuster

Reserv

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you. 
About the role 
We are seeking a highly organized and customer-focused Transportation Physical Damage Claims Adjuster to join our team.
You will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering exceptional customer service! 
If you bring strong analytical skills, excellent communication, and a passion for exceptional customer service to quickly achieve optimal claim results&mdash;we want to hear from you! 
Who you are<ul><li>
Excited about building a tech-driven claims organization</li><li>
Passionate about the customer experience</li><li>
You're empathetic and patient with everyone you interact with</li><li>
Driven by a sense of urgency (without working around the clock)</li><li>
Creative in finding the right resolution that serves the insured's best interest</li><li>
You're comfortable with conflict&mdash;see it as conversational, not adversarial</li><li>
Curious about the whole story so you can make the right decisions early</li><li>
Anti-status quo&mdash;you don't just wish things were different, you make them different</li><li>
A strong communicator</li><li>
You have a sense of humor (claims are hard enough as it is!)</li></ul> 
What you'll do<ul><li>
You'll provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests</li><li>
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action</li><li>
You'll manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim</li><li>
Coordinate the repair of damaged vehicles and assist with rental reimbursement</li><li>
Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss</li><li>
You'll ensure compliance with specific state regulations, policy provisions, and standard operating procedures</li><li>
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority</li><li>
Provide input for continuous development of claims guidelines, best practices, and process improvements</li><li>
You'll oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim</li><li>
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications</li></ul> 
Qualifications<ul><li>
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)</li><li>
Minimum of 3-5 years of experience on transportation claims, dealing with Third-Party PD/Total Loss</li><li>
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license</li><li>
You're willing to obtain all licenses within 60 days, including completing any state required testing</li><li>
Knowledge of state regulations, policy provisions, and standard operating procedures</li><li>
Ability to analyze and evaluate claims data and make sound decisions based on established guidelines, policies, and procedures</li><li>
Curious and motivated by problem solving and questioning the status quo</li><li>
Desire to engage in learning opportunities and continuous professional development</li></ul> 
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Transportation Claims Resolution Specialist: APD

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you. 
About the role<ul><li>
We are seeking highly organized and customer-focused Transportation Physical Damage Claims Adjusters to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. 
 
The ideal candidate has a willingness and experience to work with all parties attendant to a claim to quickly achieve optimal claim results.</li></ul>
Who you are<ul><li>
Highly motivated and growth-oriented. You're excited by the prospect of being part of a tech-driven claims org.</li><li>
Passionate claim professional who cares about the customer and their experience.</li><li>
Empathetic. You exercise empathy and patience towards everyone you interact with.</li><li>
Sense of urgency - at all times. That does not mean working at all hours.</li><li>
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured&rsquo;s best interest.</li><li>
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.</li><li>
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.</li><li>
Anti-status quo. You don&rsquo;t just wish things were done differently, you action on it.</li><li>
Communicative. (we'd love to know what this means to you)</li><li>
And did we mention, you have a sense of humor. Claims are hard enough as it is.</li></ul> 
What you'll do<ul><li>
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by responding to customer inquiries, initiating investigations and resolving customer claims.</li><li>
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action</li><li>
Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim</li><li>
Coordinate the repair of damaged vehicles and assist with rental reimbursement</li><li>
Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss</li><li>
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures</li><li>
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority</li><li>
Provide input for continuous development of claims guidelines, best practices, and process improvements</li><li>
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim</li><li>
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications</li></ul>
Qualifications<ul><li>
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)</li><li>
Active insurance adjuster&rsquo;s license by way of a designated home state, or home state</li><li>
Minimum of 5 years of experience on commercial transportation claims, ideally interstate tractor trailer, dealing with Third-Party PD/Total Loss</li><li>
Willing to obtain all licenses within 45 days, including completing state required testing</li><li>
Knowledge of state regulations, policy provisions, and standard operating procedures</li><li>
Commercial experience necessary</li><li>
Ability to analyze and evaluate claims data and make sound decisions based on established guidelines, policies, and procedures</li><li>
Curious and motivated by problem solving and questioning the status quo</li><li>
Desire to engage in learning opportunities and continuous professional development</li></ul>
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Claims Adjuster - Trucking (APD)

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you! 
About the role
We are seeking a highly organized and customer-focused Transportation Physical Damage Claims Adjuster to join our team.
You will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering exceptional customer service! 
If you bring strong analytical skills, excellent communication, and a passion for exceptional customer service to quickly achieve optimal claim results&mdash;we want to hear from you! 
Who you are<ul><li>
Excited about building a tech-driven claims organization</li><li>
Passionate about the customer experience</li><li>
You're empathetic and patient with everyone you interact with</li><li>
Driven by a sense of urgency (without working around the clock)</li><li>
Creative in finding the right resolution that serves the insured's best interest</li><li>
You're comfortable with conflict&mdash;see it as conversational, not adversarial</li><li>
Curious about the whole story so you can make the right decisions early</li><li>
Anti-status quo&mdash;you don't just wish things were different, you make them different</li><li>
A strong communicator</li><li>
You have a sense of humor (claims are hard enough as it is!)</li></ul> 
What you'll do<ul><li>
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests</li><li>
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action</li><li>
Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim</li><li>
Coordinate the repair of damaged vehicles and assist with rental reimbursement</li><li>
Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss</li><li>
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures</li><li>
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority</li><li>
Provide input for continuous development of claims guidelines, best practices, and process improvements</li><li>
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim</li><li>
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications</li></ul> 
Qualifications<ul><li>
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)</li><li>
Minimum of 3-5 years of experience on commercial transportation claims, dealing with Third-Party PD/Total Loss</li><li>
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license</li><li>
You're willing to obtain all licenses within 60 days, including completing any state required testing</li><li>
Knowledge of state regulations, policy provisions, and standard operating procedures</li><li>
Commercial experience necessary</li><li>
Ability to analyze and evaluate claims data and make sound decisions based on established guidelines, policies, and procedures</li><li>
Curious and motivated by problem solving and questioning the status quo</li><li>
Desire to engage in learning opportunities and continuous professional development</li></ul>
Benefits<ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

Commercial Complex Claims Adjuster:Auto Damage

<div>About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you. 
About the role<ul><li>
Come join an amazing and collaborative team! We are seeking a highly organized and customer-focused General Liability Adjuster to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. 
 
The ideal candidate has a willingness to work through a design process that supports the quickest claim resolution with the best outcome. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.</li></ul> 
Who you are<ul><li>
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.</li><li>
Passionate adjuster who cares about the customer and their experience.</li><li>
Empathetic. You exercise empathy and patience towards everyone you interact with.</li><li>
Sense of urgency - at all times. That does not mean working at all hours.</li><li>
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured&rsquo;s best interest.</li><li>
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.</li><li>
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.</li><li>
Anti-status quo. You don&rsquo;t just wish things were done differently, you action on it.</li><li>
Communicative. (we'd love to know what this means to you)</li><li>
And did we mention, you have a sense of humor. Claims are hard enough as it is.</li><li>
You are collaborative and a team player.</li></ul> 
What you'll do<ul><li>
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests</li><li>
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action</li><li>
Manage an inventory of claims, analyze coverage and identify any potential coverage issues.</li><li>
 Establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim</li><li>
Ability to handle all aspects of general liability claims not limited to but including Slip and Falls, Habitational, Risk Transfer, Construction, and New York Labor Law</li><li>
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures</li><li>
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority</li><li>
Provide input for continuous development of claims guidelines, best practices, and process improvements</li><li>
Oversee and direct outside investigative service providers, client counsel and investigative services to resolve the claim while closely with the client.</li><li>
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications</li></ul> 
Qualifications<ul><li>
Bachelor's degree. JD, Professional insurance designations strongly preferred.</li><li>
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license</li><li>
Minimum of 5 years of experience ideally with;</li><li><div><ul><li>
General Liability (Premise, Habitational, Auto, Garagekeepers, BOP&rsquo;s, Dwelling)</li><li>
Construction Liability.</li><li>
Construction Defect is a huge plus!</li><li>
Employers Liability.</li><li>
Liquor Liability/Dram Shop.</li><li>
Complex claims involving litigation.</li><li>
Policy interpretation. Drafting Reservation of Rights letters, coverage declinations.</li><li>
Third-party bodily injury.</li><li>
Third-party litigated bodily injury/property damage.</li></ul></div></li><li>
Willing to obtain all licenses within 45 days, including completing state required testing</li><li>
Knowledge of state regulations, policy provisions, and standard operating procedures</li><li>
Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures</li><li>
Curious and motivated by problem solving and questioning the status quo</li><li>
Desire to engage in learning opportunities and continuous professional development</li><li>
Ability to collaborate with colleagues within and outside your department</li><li>
Willingness to travel for client and claims needs 
 
Benefits</li></ul><ul><li>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</li><li>
401(k) retirement plan with employer matching</li><li>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</li><li>
Generous family leave policy after 8 months of continuous work</li><li>
Work from anywhere to facilitate your work life balance</li><li>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</li></ul> 
Additionally, we will<ul><li>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</li><li>
Work toward reducing and eliminating all the administrative work from an adjuster role</li><li>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</li></ul> 
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</div>

General Liability Claims Adjuster

<div>
 At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster TTPO Claims to play your part in that transformation. It&rsquo;s an opportunity to grow your skills and experience as a valued member of the team.
 
 
 
 Make your mark in TPA Claims
 
 
 
 Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.
 
 
 
 How You Will Create An Impact
 
 
 
 
 <ul>
 <li>
 Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs.
 </li>
 <li>
 Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary.
 </li>
 <li>
 Assess liability and resolve claim within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices within a timely manner.
 </li>
 <li>
 Coordinate vendor referrals for additional investigation and/or litigation management. Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim.
 </li>
 <li>
 Refer case as appropriate to supervisor and management. Respond to requests or directions in a professional and timely manner.
 </li>
 <li>
 Attend arbitrations, mediations, settlement conference and trials.
 </li>
 <li>
 Successfully complete required State licensing examinations and continuing education requirement.
 </li>
 <li>
 Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends.
 </li>
 <li>
 Partner with TPA Governance and Relationship Management to help TPA&rsquo;s and Insureds comply with claim handling and reporting guidelines.
 </li>
 <li>
 Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO financials.
 
 
 </li>
 </ul>
 
 What You&rsquo;ll Need To Succeed
 
 
 
 
 <ul>
 <li>
 4 plus years of General Liability/Auto claims experience.
 </li>
 <li>
 Experience with complex and high exposure General Liability Bodily Injury and Property damage claims
 </li>
 <li>
 Excellent communication skills (verbal/written) and strong negotiation skills
 </li>
 <li>
 Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures.
 </li>
 <li>
 Strong technical expertise interpreting insurance contracts.
 </li>
 <li>
 In depth knowledge of claim handling procedures, claims performance strategies, and claim best practices.
 </li>
 <li>
 Advanced analytical and problem solving skills.
 </li>
 <li>
 Should also have a demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking.
 </li>
 <li>
 Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives is essential.
 
 
 </li>
 </ul>
 Ready to take your career to the next level? We would love to hear from you.
 
 
 The position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we&rsquo;re proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview.
 
 
 #TPA #Claims
 
 
 At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.
 
 
 
 Enjoy Benefits That Take Care Of What Matters
 
 
 
 At AIG, our people are our greatest asset. We know how important it is to protect and invest in what&rsquo;s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security&mdash;as well as your professional development&mdash;to bring peace of mind to you and your family.
 
 
 
 Reimagining insurance to make a bigger difference to the world
 
 
 
 American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world&rsquo;s most far-reaching property casualty networks. It is an exciting time to join us &mdash; across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.
 
 
 
 Welcome to a culture of inclusion
 
 
 
 We&rsquo;re committed to creating a culture that truly respects and celebrates each other&rsquo;s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG&rsquo;s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.
 
 
 
 AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.
 
 
 
 AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.
 
 
 
 Functional Area
 
 
 
 CL - Claims
 
 
 AIG Claims, Inc.
 
 
</div>

Claims Adjuster,TPA Oversight

TRISTAR

<div>POSITION SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct and efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.
DUTIES AND RESPONSIBILITIES:<ul><li>
Review, process and conclude assigned claims including investigation and evaluation complex Commercial Auto and General Liability Casualty Claims.</li><li>
Review and interpret policies, coverage determination.</li><li>
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
</li><li>Maintain an ongoing diary.</li><li>
Continually assess exposure and evaluate for accurate reserves and settlement recommendation.</li><li>
Prepare Loss Reports providing thorough analysis of liability and damages.
</li><li>Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.</li><li>
Document all correspondence, reports, discussions and decisions in the claim file record.</li><li>
Provide outstanding service to the client.</li><li>
Assist Supervisors and Claim Department with requested tasks or special projects.</li><li>
Other duties as assigned.</li></ul>
Position is remote/working from home.
QUALIFICATIONS REQUIRED:
Education/Experience: High School Diploma or GED required; Bachelor&rsquo;s degree in related field (preferred) and a minimum of ten+ (10) years&rsquo; commercial auto and general liability casualty related experience; or equivalent combination of advanced education and experience.
Special Requirements:<ul><li>
At least 10 years of Commercial Automobile and General Liability claims experience required
</li><li>Knowledge of claims handling concepts, practices, and techniques, including but not limited to coverage issues and product line knowledge.
</li><li>Demonstrated verbal and written communications skills.
</li><li>Demonstrated advanced analytical, decision-making and negotiation skills.
</li><li>Computer proficiency.</li></ul>
Preferred Skills:<ul><li>
Ability to communicate effectively and clearly, both orally and in writing.</li><li>
Ability to manage relationships in a fast-paced environment, while demonstrating problem solving and decision-making skills to work with customers.</li><li>
Good analytical abilities to review, exercise judgment and evaluate claims to make sound decisions with a minimal amount of supervision.</li><li>
Excellent customer service skills.</li><li>
An understanding of the litigation process and case valuation in multiple jurisdictions.
</li><li>Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.</li><li>
An ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.</li><li>
Time management skills, organizational skills and ability to prioritize issues and tasks.</li><li>
Ability to effectively operate computer equipment and applications.</li><li>
Independence, flexibility, and creativity.
</li></ul>Other Qualifications:
<ul><li>Multi state adjuster licensure within home state or designated state and/or the ability to obtain licenses through home state reciprocity or through state adjuster examinations. AICPCU industry designations.</li></ul>
Mental and Physical Requirements: [see separate attachment for a copy of the checklist of mental and physical requirements<div><div> 
<div></div><div>MENTAL AND PHYSICAL REQUIREMENTS</div></div><div> 
<div>1. MENTAL EFFORT
a. Reasoning development:
Follow one- or two-step instructions; routine, repetitive task.
Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables.
Follow written, verbal, or diagrammatic instructions; several concrete variables.
X Solve practical problems; variety of variables with limited standardization; interpret instructions.
Logical or scientific thinking to solve problems; several abstract and concrete variables.
Wide range of intellectual and practical problems; comprehend most obscure concepts.</div></div><div> 
<div>b. Mathematical development:
Simple additional and subtraction; copying figures, counting, and recording.
Add, subtract, multiply, and divide whole numbers.
X Arithmetic calculations involving fractions, decimals, and percentages.
Arithmetic, algebraic, and geometric calculations.
Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.
Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.</div></div><div> 
<div>c. Language development:
Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.
Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction.
Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.
X Ability to compose original correspondence, follow technical manuals, and have increased contact with people.
Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.</div></div><div> 
<div>2. PHYSICAL EFFORT
a. Physical activity required to perform the job:
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
X Light work:
a. Exerting up to 20 pounds of force occasionally
b. Exerting up to 10 pounds frequently
c. Exerting a negligible amount of force constantly to move objects
(If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work).
Medium work:
a. Exerting up to 50 pounds of force occasionally
b. Exerting up to 20 pounds of force frequently
c. Exerting up to 10 pounds of force constantly to move objects
Heavy work:
a. Exerting up to 100 pounds of force occasionally
b. Exerting up to 50 pounds of force frequently
c. Exerting up to 20 pounds of force constantly to move objects
Very heavy work:
a. Exerting in excess of 100 pounds of force occasionally
b. Exerting in excess of 50 pounds of force constantly to move objects
c. Exerting in excess of 20 pounds of force constantly to move objects 
</div></div> 
<div><div><ul><li>Visual requirements necessary to perform the job:</li></ul>
Far vision: clarity of vision at 20 feet or more
X Near vision: clarity of vision at 20 inches or less
X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet
Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are
Color vision: ability to identify and distinguish colors
Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point 
</div></div> 
<div>2. PHYSICAL EFFORT (cont.) 
FREQUENCY 
</div> 
<div><div>c. Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally):
Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.
Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.
X Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
X Kneeling: Bending legs at knee to come to a rest on knee or knees.
X Crouching: Bending the body downward and forward by bending legs and spine.
Crawling: Moving about on hands and knees or hands and feet.
X Reaching: Extending hand(s) and arm(s) in any direction.
X Standing: Particularly for sustained periods of time.
X Walking: Moving about on foot to accomplish tasks, particularly for long distances.
X Pushing: Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward.
X Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion.
Foot
Motion: Using feet to push pedals.
X Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.
X Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling.
X Grasping: Applying pressure to an object with the fingers and palm. 
</div><div>Occasionally
Occasionally
Occasionally
Occasionally
Occasionally
Occasionally
Occasionally
Occasionally
Frequently
Frequently
Occasionally 
</div></div> 
 
</div><div><div>2. PHYSICAL EFFORT (cont.) 
FREQUENCY</div><div><div> 
X Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts.
Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips.
X Repetitive Substantial movements (motions) of the wrists, hands,
Motion: and/or fingers.</div><div> 
Frequently
Frequently
Frequently 
</div></div> 
<div><div>3. WORKING CONDITIONS
Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure. 
</div></div> 
<div><div>WORKING CONDITION
ENVIRONMENTAL
FACTOR</div><div> 
NATURE/REASON
OF EXPOSURE</div><div> 
FREQUENCY</div></div><div> 
Dirt/Dust 
</div> 
<div>Noise 
</div> 
<div>Temperature extremes 
</div> 
<div>Dampness 
</div> 
<div>Vibrations 
</div> 
<div>Equipment movement hazard 
</div> 
<div>Chemicals/solvents 
</div> 
<div>Electrical shock 
</div> 
<div>Significant work pace/pressure 
</div> 
<div>Odors/Fumes</div></div></div>

Commercial Auto & GL Claims Examiner III

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