Inside Claim Adjuster Auto Diamond Bar, CA

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Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program employees are also eligible for performance-based cash incentive awards.

Salary Range
$53700.00 - $88600.00
Target Openings
4
What Is the Opportunity
This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Claim types include multi-vehicle (2 or more cars) auto damage with unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles fire/theft and potential fraud as well as non-auto property related damage. Provides quality claim handling throughout the claim life cycle (customer contacts coverage investigation evaluation reserving negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
What Will You Do
Customer Contacts/Experience:
Delivers consistent service quality throughout the claim life cycle including but not limited to prompt contact explaining the process setting expectations on-going communication follows-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts as outlined in Special Account Communication (SAC).
Coverage Analysis:
Reviews and analyzes coverage and applies policy conditions provisions exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Confirms priority of coverage (i.e. primary secondary concurrent) and takes into consideration other issues relevant to the jurisdiction.
Investigation/Evaluation:
Investigates each claim to obtain relevant facts necessary to determine coverage causation extent of liability/establishment of negligence damages contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders accounts claimants law enforcement agencies witnesses agents etc.) Takes recorded statements as necessary.
Recognizes and requests appropriate inspection type based on the details of the loss and coordinates the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling.
Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e. Subrogation SIU Property Adverse Subrogation etc.).
Reserving:
Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system documenting claim file activities to resolve claim in a timely manner.
Negotiation/Resolution:
Determines settlement amounts based upon appraisal estimate negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate writes denial letters Reservation of Rights and other necessary correspondence to insureds and claimants.
May provide support to other parts of Auto Line of Business (e.g. Total Loss Salvage etc.) when needed.
Insurance License:
In order to perform the essential functions of this job acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
Perform other duties as assigned.