Claim - Claim Service Specialist IV (Gardner)

Arbella Insurance in Gardner, MA

  • Industry: Financial Services - Insurance - Claim Adjuster
  • Type: Full Time
  • $57,985.00 - 101,410.00
position filled

Under minimal supervision, investigate and resolve first and third party material damage, WC, PIP and BI claims which may involve coverage, liability, damage and legal issues.
Effort may concentrate around large exposure, Commercial Auto, Homeowner liability, and/or Commercial Property claims among other market/line combinations.
Provide guidance and direction to legal counsel during the litigation process in order to ensure favorable resolution.
Act as a mentor to new employees to facilitate the on-boarding process.
Settlement authority up to $45,000.00 and expenseauthority up to $7,500.00

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 reminder system.
Evaluates case facts confirming coverage and appropriate damages.
Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal and medical 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 resolution.
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, and confers with attorney about case direction and disposition.
Will participate in special projects or training programs.
Successfully completes all required training and applies.
Will assist in the training of Claims Service Specialists III and below.
Will keep management informed of activities and issues within assigned area of responsibility.
Performs other related duties as required or requested.

Requirements:

Excellent customer service, communication and time management skills

3-5 years of equivalent work related experience.

2 or more years as a Claims Service Specialist III

Demonstrated success in handling PIP, BI and MD2

#LI-CL1


Associated topics: adjuster, auto, bodily, casualty, claim investigator, damage, fraud, insurance adjuster, investigation, liability adjuster

You may be interested in these similar jobs!
Claim - Claim Team Manager, Quincy MA (Gardner)
Arbella Insurance in Gardner, MA

Join a Best Place to Work Company! Under limited direction, lead the investigation and timely disposition of first and third party claims. These …

Read More
Claim - Claim Examiner (Hudson)
Arbella Insurance in Hudson, MA

Primary Function Under general supervision, direct and control the investigation and disposition of auto, casualty and workers compensation claims…

Read More
Sr Auditor Coding Compliance (Gardner)
Stericycle in Gardner, MA

Position Purpose:Project lead for coding audits for medical facilities and occasionally provides training to physicians and staff.Key Job Activities:…

Read More
Emergency Medicine Locums (Leominster)
All Star Recruiting in Leominster, MA

All Star Recruiting is seeking an Emergency Medicine physician to assist with locums coverage in Massachusetts.Board Certified March coverage - ongoi…

Read More
Claims Auto Field Appraiser (Gardner)
The Hanover Insurance Group in Gardner, MA

Friday, January 31, 2020Our Claims department is seeking a Field Appraiser to join our growing team in the Boston, MA area.Position summary:The posit…

Read More
MULTI-LINE ADJUSTER - VERMONT (Vernon)
Property Claim Professionals in Vernon, VT

A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. …

Read More
Pediatric Anesthesiologist for New England (Gardner)
Pediatric Dental Anesthesia Associates in Gardner, MA

Market Leader Pediatric Dental Anesthesia Associates is looking for a part time to full time board certified pediatric anesthesiologist for Massachus…

Read More
Outside Property Adjuster (Brookline)
The Hanover Insurance Group in Brookline, NH

Wednesday, August 28, 2019Our Outside Property claims department is seeking a Field Adjuster for the New Hampshire Territory.Position summary:Outside…

Read More
Validation Specialist V (Gardner)
PSG Global Solutions in Gardner, MA

The OpportunityWe're looking for a Validation Specialist V, working in the Pharmaceuticals & Medical Products industry in Westborough, Massachusetts.…

Read More
Sr Delivery Specialist - Power Edge Server Administration exp needed f (Leominster)
Zen & Art in Leominster, MA

JPC-655. Contact. Vivian Martin. . Loc: Marlborough, MA Duration: 1 month ( 160 hrs - 100% Onsite) Description: Must have skills: - Dell P…

Read More