Primary Purpose:
To analyze and process complex auto and commercial transportation claims by assessing coverage, conducting investigations, determining liability, and evaluating damages for resolution.
Essential Functions and Responsibilities:
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Handle complex personal and commercial auto claims, including bodily injury.
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Manage the litigation process for litigated claims.
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Coordinate with vendors and independent adjusters during investigations.
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Report large claims to excess insurance carriers.
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Develop and maintain action plans to meet required contact timelines and ensure timely claim resolution.
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Identify and pursue subrogation and risk transfer opportunities; manage salvage processes.
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Communicate claim actions and status with insureds, clients, agents, and brokers as appropriate.
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Ensure accurate documentation and proper claim file coding.
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Support organizational quality initiatives.
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Perform additional duties as assigned.
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Travel as required.
Qualifications:
Education & Licensing:
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Bachelor's degree – Preferred
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Applicable professional certifications – Preferred
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Must obtain and maintain applicable state adjusting licenses.
Experience:
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5 years of claims management experience, or equivalent combination of education and experience.
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Strong knowledge of personal and commercial auto insurance policies, coverage principles, and relevant laws.
Skills & Knowledge:
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Proficient in auto policy interpretation and liability assessment.
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Understanding of medical terminology and Medicare compliance.
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Familiarity with deductibles, sub-limits, SIRs, and large deductible programs.
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Strong verbal and written communication skills.
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Proficient in Microsoft Office and claims processing systems.
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Excellent organizational, interpersonal, and negotiation skills.
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Ability to thrive in a collaborative team environment.
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Proven ability to meet or exceed service expectations.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.