Claims Adjuster

#Jobs

Summary:
ESIS is seeking an experienced Auto General & Liability (AGL) Claims Adjuster for the Overland Park KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team.
Under the direction of the Claims Team Leader investigates and settles claims promptly equitably and within established best practices guidelines.

Job Responsibilities:

Under limited supervision receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policys obligation to the insured depending on the line of business.
Contacts interviews and obtains statements (recorded or in person) from insureds claimants witnesses physicians attorneys police officers etc. to secure necessary claim information.
Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.
Evaluates facts supplied by investigation to determine extent of liability of the insured if any and extend of the companys obligation to the insured under the policy contract.
Prepares reports on investigation settlements denials of claims individual evaluation of involved parties etc.
Sets reserves within authority limits and recommends reserve changes to Team Leader.
Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
Prepares and submits to Team Leader unusual or possible undesirable exposures.
Assists Team Leader in developing methods and improvements for handling claims.
Settles claims promptly and equitably.
Obtains releases proofs of loss or compensation agreements and issues company drafts in payments for claims.
Informs claimants insureds/customers or attorney of denial of claim when applicable.

Skills:
Technical claims knowledge and competence as evidenced by a minimum of 2 years claims handling experience in specific line of business (Auto)
Experience within a TPA environment strongly preferred. Required to obtain specific state licenses.
Knowledge of coverages; along with a good understanding of applicable legal principles.
Knowledge of auto liability cost containment programs and proven account management skills a must.
Strong communication negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external.
Strong analytical and problemsolving ability.
Demonstrated ability to provide consistent superior service to customers.

Education/Experience
Preferred TX or FL license with preferred experience 13 years