Claims Serv Specialist III - PIP
Claims Serv Specialist III - PIP
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Job Description
This position might be at any of our Claim offices depending on the candidate.
Key Responsibilities
Timely completion of all case activities maximizing customer service and minimizing net loss payout.
Contacts all insureds claimants and witnesses that may have information relating to the loss either in person by
telephone or in writing. This may include visiting the accident location to examine photograph and diagram
physical facts and conduct neighborhood canvasses.
Inputs and retrieves information using the automated claims system requests checks form letters and other
correspondence through the automated claim system.
Evaluates case facts determining coverage liability and reserves and reports on settlement; maintains a remindersystem.
Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal andmedical billings and investigates for proper charges and pays accordingly.
Negotiates settlements with individuals attorneys and other insurance carriers within their granted settlement
authority level.
Pursues subrogation and may arrange for salvage to obtain the maximum recovery.
Prepares detailed scope of damages on property losses and brings to conclusion.
Assists when requested in the selection and evaluation of experts as needed.
Manages litigation checking to ensure that coverages are not exceeded that legal expenses are adequate andconfers with attorney about case direction and disposition.
Will participate in special projects or training programs.
Will assist in the training of Claims Service Specialists II and below.
Performs other related duties as required or requested.
Will keep management informed of activities and problems within assigned area of responsibility.
Provides information to all interested parties including the local agents by answering routine questionsregarding the status of the claim.
Successfully completes all required training and applies.
Meets basic claim handling performance standards.
Manage and track all claims referred to Subrogation counsel.
Daily navigation and management of ESubro Hub.
Prepare well written contentions for arbitration filings including Special arbitrations when coverage liabilityand/or damages are in dispute.
Manage stretch assignments based on experience with oversight.
Requirements
Success will be measured based on individual results compared to all established department standards in Customer Service Teamwork Loss and Expense Management as well as Continuous Improvement.
Excellent communication customer service and collaboration skills
35 years of equivalent work related experience
2 or more years as a Claim Service Specialist II
Demonstrated success in handling PIP MD2
Where applicable pass the state licensing requirements
Valid drivers license in good standing
Required Experience:
Unclear Seniority
Employment Type
Full-Time
