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Claims Representative Jobs in North Carolina

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Job Title: Auto Liability Outside Claim Rep.- Charlotte, NC
Company: Travelers
Location: Charlotte, NC

Description:
Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   SUMMARY: Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices.  Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Conducts coverage investigation and analysis, outside liability investigation and analysis, evaluation of bodily injury and property damage claims, and negotiation and resolution of PL and CL auto bodily injury, homeowner's liability, and commercial general liability claims. Makes face-to-face same day contact with claimants and insureds; provides outstanding customer service. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition. PRIMARY DUTIES: Timely coverage analysis and communication with insured based on application of policy information,  facts or allegations of each case.  Consult with Unit Manager on use of Claim Coverage Counsel. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.  Take necessary statements. Identify resources for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.  Request through Unit Manager and coordinate results of their efforts and findings. Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keep effective diary management system to ensure that all claims are handled timely.  At required time intervals, evaluate liability and damages exposure, and establish proper indemnity and expense reserves. Utilize evaluation documentation tools in accordance with department guidelines. Responsible for prompt and proper disposition of all claims within delegated authority.  Negotiate disposition of claims with insureds and claimants or their legal representatives.  Recognize and implement alternate means of resolution. May manage litigated claims.  Develop litigation plan with staff or panel counsel, track and control legal expenses.  Assure cost-effective resolution. Maintain claim files, have an effective diary system, and document claim file activities in accordance with established procedures. Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognize cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. Appropriately deal with information that is considered personal and confidential. Compliance with Claim Department's Best Practices. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws Provide quality customer service and ensure file quality. Share accountability with business partners to achieve and sustain quality results. EDUCATION/COURSE OF STUDY: College degree or equivalent in business discipline preferred. WORK EXPERIENCE: A minimum of two years of auto and homeowner (or GL) claim handling experience and one year bodily injury claim experience.  Auto appraisal skills are also a plus. CERTIFICATES/DEGREES: State license where applicable and continuing education. COMPUTER SKILLS: Strong keyboarding skills and basic PC familiarity. OTHER: Litigation experiences a plus. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and skill in various business line products. Strong negotiation and customer service skills Experience in negotiating bodily injury claim settlements directly with claimants and attorneys preferred. Poised, polished communication skills. Strong keyboarding skills and basic PC familiarity. Ability to work independently in a virtual home office environment. Must be flexible to meet the service needs of our customers and business partners. Ability to handle multiple tasks simultaneously in a fast paced environment. Independent decision making ability. Valid drivers license and good driving record. File Management Business Knowledge/Technology Customer Focus Relationship Management Change Management Decision Making Leadership In A Matrix   Environment Strategic Thinker Creativity Initiative Collaboration Communicates Effectively And Influences Others Trend Analysis Project Management Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position.  As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application.  You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.




Job Title: Auto Damage Claim Rep.
Company: Travelers
Location: Charlotte, NC

Description:
Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   Summary: Handle 1st and 3rd party Personal Insurance.  Manage claims for automobiles, a variety of heavy, specialty and mobile equipment and non-auto related property damage (i.e.: mail box, fence, and indirect damages such as down time and business interruption.)  Claims will have varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).   Primary Duties and Responsibilities:   - Handle all types of vehicles including automobiles, and a variety of heavy and mobile equipment (i.e. Cranes,  tractor trailers, construction, agricultural equipment) at every severity level including other property damage i.e.: guard rails, mail boxes and any property within the vehicle. - Handle vehicle claims with varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).  - Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, pertinent to a variety of vehicle damage claims. Recognize and apply how jurisdictional issues impact the claim (i.e.: negligence laws, financial responsibility/limits, immunity, etc.)  Manage deductibles and coverage limits. - Contact appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries and exposure with respect to the various vehicle coverage provided.   - Investigate facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and other claims that require specialized investigation and utilization of internal and external experts in accordance with local laws.  - Request the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim (i.e.: concierge claim, appraisal, heavy equipment, property task assignment).  When a Total Loss is determined, authorize payment through the Total Loss representative. - Conduct damage management including properly managing the repair process i.e.: mitigating storage, rental, early tow to salvage and other related expenses by working closely with appraisers, rental facilities, body shops,  repair facilities and other vendors.  - Establish timely and maintain appropriate claim and expense reserves. - Develop and continually update a plan of action including maintaining an effective diary to bring the claim to resolution in a timely manner. Manage file inventory by utilizing an effective diary system and documenting claim file activities in accordance with established procedures.  - Write denial letters, Reservation of Rights and other routine and complex correspondence to insureds and claimants. - Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits and deductibles.  - Negotiate and convey claim settlements within authority limits to insureds. - Meet all quality standards and expectations per Best Practices. - Comply with state specific regulations. -  Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers.  Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). -  Recognize and forward appropriate files to subject matter experts i.e.: SIU, engineer, staff/general counsel, heavy equipment, construction, property, CAT mgmt, fire investigator, Independent Adjuster, and accident reconstruction for their review and consult.  Identify subrogation opportunities; determine appropriateness of the demand and negotiate adverse subrogation and arbitration. - Handle litigation on appropriately assigned cases. Develop litigation plan with staff or panel counsel, and track and control legal expenses; Review conciliations and prepare submissions for arbitration hearings. -  May participate with Auto ERT during extreme weather events.- - Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.       Education / Work Experience: College degree or equivalent business experience.  Adjusters license (where applicable).  Strong verbal and written communication skills. Hardware and software skills to utilize and leverage claim and adjusting technology.    Other : Medical terminology knowledge (helpful) Customer service and empathy skills Solid analytical and decision making skills Math skills Excellent negotiation skills and ability to effectively handle conflict Strong organization and time management skills Ability to multi-task and to adapt to a changing environment Ability to effectively handle conflict Attention to detail ensuring accuracy Strong investigative skills and creativity to achieve optimal resolution This position does require alternative scheduling, either Tuesday - Saturday, or 10am - 7pm, at the discretion of the hiring manager.




Job Title: Bodily Injury Claims Specialist - Lake Norman, NC
Company: Liberty Mutual Insurance Company
Location: Charlotte, NC

Description:
Advance your Claims career at Liberty Mutual - A Fortune 100 Company!Are you looking for an opportunity to join a claims adjusting team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available .Asa Bodily InjuryClaims Specialist, you will help people resolve problems and live safer more secure lives. You will get the opportunity to use your investigative and negotiation skills in a fast paced environment while protecting the assets of the company. We offer variety in your position - in the people you interact with and the cases you handle. This position concentrates on general liability and auto liability with an opportunity to handle both property and injury losses and litigated cases. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.Responsibilities:In thisBodily Injury Claims Specialist role you will:Assess policy coverage, contact insured, determine and establish reserve requirementsReview and set-up claims in the tracking system and describe the loss to reflect actual circumstancesPlan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability , compensability and damages of claimsDetermine need for independent adjusters, cause and origin experts and independent medical examiners.Evaluate claim for potential fraudAssess actual damages associated with claims and conduct negotiations to settle claimsMay be involved with litigation as necessary.Bodily Injury Claims Specialist will be based out of the Liberty Lake Norman, NC office.




Job Title: Auto Damage Claim Rep. Trainee Job
Company: Travelers
Location: Charlotte, NC

Description:
Auto Damage Claim Rep. Trainee Job Job DescriptionJob Title:Auto Damage Claim Rep. TraineeJob ID:793040Location: NC-CharlotteAvailable Openings:Committed. Competitive. Constructing our Future.That's Travelers. We are one of the leading insurance companies in the United States. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.Summary:Handle 1st and 3rd party Personal Insurance. Manage coverage and liability investigations for automobiles, a variety of heavy, specialty and mobile equipment and non-auto related property damage (i.e.: mail box, fence, and indirect damages such as down time and business interruption.) Claims will have varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).Primary Duties and Responsibilities:- Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, pertinent to a variety of vehicle damage claims. Recognize and apply how jurisdictional issues impact the claim (i.e.: negligence laws, financial responsibility/limits, immunity, etc.) Manage deductibles and coverage limits.- Investigate facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and other claims that require specialized investigation and utilization of internal and external experts in accordance with local laws.- Request the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim (i.e.: concierge claim, appraisal, heavy equipment, property task assignment). When a Total Loss is determined, authorize payment through the Total Loss representative.- Handle all types of vehicles including automobiles, and a variety of heavy and mobile equipment (i.e. Cranes, tractor trailers, construction, agricultural equipment) at every severity level including other property damage i.e.: guard rails, mail boxes and any property within the vehicle.- Handle vehicle claims with varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).- Contact appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries and exposure with respect to the various vehicle coverage provided.- Conduct damage management including properly managing the repair process i.e.: mitigating storage, rental, early tow to salvage and other related expenses by working closely with appraisers, rental facilities, body shops, repair facilities and other vendors.- Establish timely and maintain appropriate claim and expense reserves.- Develop and continually update a plan of action including maintaining an effective diary to bring the claim to resolution in a timely manner. Manage file inventory by utilizing an effective diary system and documenting claim file activities in accordance with established procedures.- Write denial letters, Reservation of Rights and other routine and complex correspondence to insureds and claimants.- Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits and deductibles.- Negotiate and convey claim settlements within authority limits to insureds.- Meet all quality standards and expectations per Best Practices.- Comply with state specific regulations.- Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC).- Recognize and forward appropriate files to subject matter experts i.e.: SIU, engineer, staff/general counsel, heavy equipment, construction, property, CAT mgmt, fire investigator, Independent Adjuster, and accident reconstruction for their review and consult. Identify subrogation opportunities; determine appropriateness of the demand and negotiate adverse subrogation and arbitration.- Handle litigation on appropriately assigned cases. Develop litigation plan with staff or panel counsel, and track and control legal expenses; Review conciliations and prepare submissions for arbitration hearings.- May participate with Auto ERT during extreme weather events.- Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.Education / Work Experience:College degree or equivalent business experience. Adjusters license (where applicable). Strong verbal and written communication skills. Hardware and software skills to utilize and leverage claim and adjusting technology.Other :Medical terminology knowledge (helpful)Customer service and empathy skillsSolid analytical and decision making skillsMath skillsExcellent negotiation skills and ability to effectively handle conflictStrong organization and time management skillsAbility to multi-task and to adapt to a changing environmentAbility to effectively handle conflictAttention to detail ensuring accuracyStrong investigative skills and creativity to achieve optimal resolutionTravelers is an equal opportunity employer. We actively promote a drug-free workplace.




Job Title: Experienced Auto Damage Claim Representative
Company: Travelers
Location: Charlotte, NC

Description:
Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   Summary: Handle 1st and 3rd party Personal Insurance.  Manage claims for automobiles, a variety of heavy, specialty and mobile equipment and non-auto related property damage (i.e.: mail box, fence, and indirect damages such as down time and business interruption.)  Claims will have varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).  Investigate coverage and liability.    Primary Duties and Responsibilities: - Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, pertinent to a variety of vehicle damage claims. Recognize and apply how jurisdictional issues impact the claim (i.e.: negligence laws, financial responsibility/limits, immunity, etc.)  Manage deductibles and coverage limits. - Contact appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries and exposure with respect to the various vehicle coverage provided.   - Investigate facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and other claims that require specialized investigation and utilization of internal and external experts in accordance with local laws. - Handle all types of vehicles including automobiles, and a variety of heavy and mobile equipment (i.e. Cranes,  tractor trailers, construction, agricultural equipment) at every severity level including other property damage i.e.: guard rails, mail boxes and any property within the vehicle. - Handle vehicle claims with varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).  - Request the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim (i.e.: concierge claim, appraisal, heavy equipment, property task assignment).  When a Total Loss is determined, authorize payment through the Total Loss representative. - Conduct damage management including properly managing the repair process i.e.: mitigating storage, rental, early tow to salvage and other related expenses by working closely with appraisers, rental facilities, body shops,  repair facilities and other vendors.  - Establish timely and maintain appropriate claim and expense reserves. - Develop and continually update a plan of action including maintaining an effective diary to bring the claim to resolution in a timely manner. Manage file inventory by utilizing an effective diary system and documenting claim file activities in accordance with established procedures.  - Write denial letters, Reservation of Rights and other routine and complex correspondence to insureds and claimants. - Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits and deductibles.  - Negotiate and convey claim settlements within authority limits to insureds. - Meet all quality standards and expectations per Best Practices. - Comply with state specific regulations. -  Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers.  Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). -  Recognize and forward appropriate files to subject matter experts i.e.: SIU, engineer, staff/general counsel, heavy equipment, construction, property, CAT mgmt, fire investigator, Independent Adjuster, and accident reconstruction for their review and consult.  Identify subrogation opportunities; determine appropriateness of the demand and negotiate adverse subrogation and arbitration. - Handle litigation on appropriately assigned cases. Develop litigation plan with staff or panel counsel, and track and control legal expenses; Review conciliations and prepare submissions for arbitration hearings. -  May participate with Auto ERT during extreme weather events.- - Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.       Education / Work Experience: College degree or equivalent business experience.  Adjusters license (where applicable).  Strong verbal and written communication skills. Hardware and software skills to utilize and leverage claim and adjusting technology.    Other : Medical terminology knowledge (helpful) Customer service and empathy skills Solid analytical and decision making skills Math skills Excellent negotiation skills and ability to effectively handle conflict Strong organization and time management skills Ability to multi-task and to adapt to a changing environment Ability to effectively handle conflict Attention to detail ensuring accuracy Strong investigative skills and creativity to achieve optimal resolution




Job Title: Claims Representative I/II
Company: Sentry Insurance
Location: Goldsboro, NC

Description:
Responsibilities  Participates in claims educational courses to learn about claim file handling. Verifies coverages and investigates losses by gathering pertinent information. Takes recorded statements, obtaining pertinent information i.e., police and medical reports, appraisals, estimates, photographs, degree of disability, rehabilitation potential, etc., and evaluating damages/eligibility for benefits.  Gains experience in determining liability and setting reserves. Evaluates minor to sometimes moderate claims and charges submitted by insureds and medical providers to determine eligibility for benefits, checking for misrepresentation, preexisting conditions and mandated state benefits if applicable.  Documents all decisions, correspondence, reports and discussions that occur during the investigation. Denies coverage where coverage does not exist. Settles and pays claims having minor exposures within assigned authority limits. Obtains and maintains state adjuster licenses as required. Learns about detecting potential problems or trends that require additional review, investigation or research. Adheres to state specific compliance issues for assigned jurisdictions. May advise the Claim Department of any special problems i.e., questionable repair shops. Receives claim assignments from manager and directly from established workflow and systems.  Confers with higher level technical claim personnel for guidance and direction to ensure the file is handled properly.  Completes claims by evaluating the loss and settling the claim.  Learns about determining if subrogation exists and takes steps necessary for recovery.  Coordinates the payment of benefits with other insurance carriers if applicable.  Monitors claim files during initial and residual periods to ensure file currency. Refers the payment or denial of claims that exceed assigned authorization limits to higher levels.  May work closely with health facility, repair facility and/or contractors to facilitate necessary services or repair work.  Accurately codes data submitted to outside agencies or other Sentry functions.  Qualifications  Bachelors Degree or equivalent work experience. 0-2 years of related work experience. Knowledge of insurance policies and coverages, claim payment procedures, and familiarity with medical terminology preferred. Previous insurance experience and/or coursework beneficial. Possess analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions. Able to review and interpret complex and detailed documents such as contracts, medical reports and insurance regulations. Effective oral and written communication skills and human relations skills. Ability to maintain confidentiality. Personal computer and math skills beneficial. Ability to meet the travel requirements of the job to include business related assignments, with limited notice, as business needs arise.  Travel may include driving, flying or any other necessary form of transportation. Working Conditions/Physical Demands: Normal office noise level.  Exposure to blood borne pathogens under 1/3 of the time.  Fumes or airborne particles under 1/3 of the time.  Lift up to 25 pounds under 1/3 of the time.  Stand under 1/3 of the time.  Walk under 1/3 of the time.  Sit over 2/3 of the time.  Use hands over 2/3 of the time.  Reach with hands and arms up to 2/3 of the time.  Talk or hear over 2/3 of the time.   Compensation and Benefits  The starting salary can be up to $31,000.00 annually depending on experience and qualifications. Sentry's excellent benefits package is designed to meet today's most important needs.  Benefits for full-time Sentry Insurance employees include: • Group Health And Dental Insurance • Prescription Eyewear Plan • Group Life Insurance • 401(K) Plan With Matching Funds • Paid-Time Off  Or Time Away From Territory Plan • Pretax Dependent Care And Health Expense Reimbursement Accounts • Student Loan Program • Credit Union • Career Education      Equal Employment Opportunity  It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.




Job Title: Total Loss Claim Rep Trainee
Company: Travelers
Location: Charlotte, NC

Description:
Summary Complete formal training program for consideration of advancement to claim representative position. Evaluate, negotiate and resolve Total Loss claims at the most reasonable cost.  Manage Total Loss expenses relating to upfront storage and tow charges.  Utilize appropriate Rental Management. Satisfy customer needs and ensure file quality. Primary Duties and Responsibilities: ¿  Same day voice to voice contact with Total Loss customer expectation.  Provide quality customer service. ¿  Review Autosource, repair estimate, photos, and system notes to ensure thorough knowledge of ACV evaluation, coverage, liability, and rental issues.  Notification to Heavy Equipment area for high dollar (over $25,000) CL claims. ¿  Establish and maintain appropriate claim and expense reserves. ¿  Negotiate and settle property damage claims within settlement authority.  Move vehicles timely to reduce upfront storage fees. ¿  Consider and evaluate equipment additions or mileage variances during the settlement discussion. ¿  Utilize background vendor tool to determine and understand vehicle repair history. Negotiate issues or dollar variances relating to ACV. ¿  Achieve timely and optimal payout results on file inventory.  Utilize appropriate mitigation correspondence if applicable. ¿  Effective diary management to ensure prompt movement of salvage and total loss file conclusion. ¿  Focus on results and file quality consistent with Best Practices and Special Account communications. ¿  Provide solid communication to interact competently with internal and external customers. ¿  Competent explanation to customer of state titling and Total Loss laws/regulations. ¿  Establish ACV through Autosource vendor on unrecovered theft claims.  Negotiate and settle claim.  Ensure title is placed in company name. Education/Work Experience: College degree preferred or equivalent work experience.  Strong negotiation and customer service skills. Claim management or Auto Appraisal experience preferred.  Excellent oral and written communication skills Computer literate, basic typing skills State Adjuster License may be required Other: Current knowledge of jurisdictional laws and regulations Knowledge and understanding of PL/CL insurance policies File Management Customer Focus/Communication Decisiveness Relationship Management Technology Flexibility Integrity




Job Title: Auto Damage Claim Rep. Trainee
Company: Travelers
Location: Charlotte, NC

Description:
Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   Summary: Handle 1st and 3rd party Personal Insurance.  Manage coverage and liability investigations for automobiles, a variety of heavy, specialty and mobile equipment and non-auto related property damage (i.e.: mail box, fence, and indirect damages such as down time and business interruption.)  Claims will have varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).   Primary Duties and Responsibilities: - Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, pertinent to a variety of vehicle damage claims. Recognize and apply how jurisdictional issues impact the claim (i.e.: negligence laws, financial responsibility/limits, immunity, etc.)  Manage deductibles and coverage limits. - Investigate facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and other claims that require specialized investigation and utilization of internal and external experts in accordance with local laws. - Request the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim (i.e.: concierge claim, appraisal, heavy equipment, property task assignment).  When a Total Loss is determined, authorize payment through the Total Loss representative. - Handle all types of vehicles including automobiles, and a variety of heavy and mobile equipment (i.e. Cranes,  tractor trailers, construction, agricultural equipment) at every severity level including other property damage i.e.: guard rails, mail boxes and any property within the vehicle. - Handle vehicle claims with varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc). - Contact appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries and exposure with respect to the various vehicle coverage provided.   - Conduct damage management including properly managing the repair process i.e.: mitigating storage, rental, early tow to salvage and other related expenses by working closely with appraisers, rental facilities, body shops,  repair facilities and other vendors.  - Establish timely and maintain appropriate claim and expense reserves. - Develop and continually update a plan of action including maintaining an effective diary to bring the claim to resolution in a timely manner. Manage file inventory by utilizing an effective diary system and documenting claim file activities in accordance with established procedures.  - Write denial letters, Reservation of Rights and other routine and complex correspondence to insureds and claimants. - Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits and deductibles.  - Negotiate and convey claim settlements within authority limits to insureds. - Meet all quality standards and expectations per Best Practices. - Comply with state specific regulations. -  Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers.  Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). -  Recognize and forward appropriate files to subject matter experts i.e.: SIU, engineer, staff/general counsel, heavy equipment, construction, property, CAT mgmt, fire investigator, Independent Adjuster, and accident reconstruction for their review and consult.  Identify subrogation opportunities; determine appropriateness of the demand and negotiate adverse subrogation and arbitration. - Handle litigation on appropriately assigned cases. Develop litigation plan with staff or panel counsel, and track and control legal expenses; Review conciliations and prepare submissions for arbitration hearings. -  May participate with Auto ERT during extreme weather events. - Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.       Education / Work Experience: College degree or equivalent business experience.  Adjusters license (where applicable).  Strong verbal and written communication skills. Hardware and software skills to utilize and leverage claim and adjusting technology.    Other : Medical terminology knowledge (helpful) Customer service and empathy skills Solid analytical and decision making skills Math skills Excellent negotiation skills and ability to effectively handle conflict Strong organization and time management skills Ability to multi-task and to adapt to a changing environment Ability to effectively handle conflict Attention to detail ensuring accuracy Strong investigative skills and creativity to achieve optimal resolution




Job Title: Personal Lines Claims Processor
Company: Allstate
Location: Charlotte, NC

Description:
Allstate Insurance Company has a wonderful career opportunity as a Claim Processing Specialist in our Charlotte, NC Express Claim Center. Training hours will be 11:30 am - 8:00 pm (approximately 8 -10 weeks). Upon completion of training shift hours are 11:30 am - 8:00 pm. Every Saturday and some holidays required after training, at this time the weekly of day is to be determined. The salary for this position is $504 per week, $12.60 per hour (PLUS 10 % second shift differential).   In this vital role, you will maintain positive relationships with customers and handle a steady volume of new non-complex claims daily, involving homeowner and auto claim losses.   Please click here to see a video and learn more about the Claim Processing Specialist opportunity!Qualifications:Our ideal candidate possesses a high school diploma or GED, and 2 - 5 years of customer service experience.  Computer skills are essential as well as flexibility and the ability to adapt to a fast changing environment.   The requirements of this job is to be a self- starter, the ability to work independently, efficient time management, as well as the ability to adapt to change.     These employees use a sophisticated computer system to document their interactions with the customer, input relevant information, pass important information to other areas of Allstate, and obtain other information from Allstate employees.   Great customer service and communication skills, professionalism and a positive attitude are keys to success in this position. Bilingual candidates are encouraged to apply.  




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