2 jobs in Florida League of Cities Inc
Claims Adjuster - Lost Time
Posted today
Job Viewed
Job Description
Job Description
WORKERS’ COMPENSATION CLAIMS ADJUSTER - LOST TIME
The Workers’ Compensation Claims Adjuster for Lost Time investigates, evaluates, negotiates, and concludes office handled worker’s compensation lost time claims. This position is responsible for resolving problems and answering inquires from members, providers, claimants, and their representatives.
RESPONSIBILITIES AND DUTIES
· Determines the extent of coverage of insured individuals.
· Confirm coverage with receipt of first notice of injury, and assist in establishing files with clerical assistance.
· Secure information from members, claimants, witnesses, investigating authorities, experts, doctors, attorneys, etc. using recorded statements when necessary.
· Conduct settlement negotiations via telephone and written correspondence when required. Possesses a certain level of financial authority to settle independently.
· Evaluate and conclude office handled claims within designated monetary authority.
· Review and confirm facts and other information necessary to document the file as part of the overall investigation of claims.
· Maintain diary for follow-up on files, determination of damages, and additional investigations.
· Attends any required or necessary training sessions, courses, etc. to develop and maintain up to date knowledge and skills.
· Handle SDF recoveries, subrogation recoveries, and any other recovery that may be available as a result of investigation.
· Maintains an appropriate level of confidentiality of processed information.
· Performs other related duties as required. Minimum travel as required.
KNOWLEDGE, SKILLS, AND ABILITIES
· Thorough knowledge of the applicability of relevant laws and regulations.
· Knowledge of Florida Worker’s Compensation law.
· Skill in investigating, evaluating and negotiating.
· Ability to read and interpret policy documents, technical information and procedural manuals.
· Ability to analyze all details of insurance claims and based on this analysis, make efficient and effective decisions.
· Ability to speak effectively with claimants, attorneys, etc.
· Ability to exercise independent and good judgment.
· Ability to communicate effectively to various personalities both orally and in writing.
· Ability to establish and maintain effective working relationships with department heads, managers, employees and vendors.
· Ability to manage and prioritize multiple tasks.
TRAINING AND EXPERIENCE
Graduation from an accredited college or university with a degree in Insurance, Business, or a related field; or high school diploma or GED with three to five years of experience in all aspects of Worker’s Compensation claims. Must possess a valid Workers’ Compensation Claims license.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.
**PLEASE DO NOT APPLY IF YOU ARE A SMOKER**
Is this job a match or a miss?
Note: If you’re asked to pay for a job, avoid the role and report the job to us immediately.
Property & Casualty Claims Adjuster
Posted today
Job Viewed
Job Description
Job Description
CLAIMS REPRESENTATIVE I
Investigates, determines liability, confirm coverage, establishes damages, and negotiates settlement of auto, property and light general liability claims for a Member based organization in accordance with approved policy & procedure and industry Best Practices. This position does not handle injury, complex or litigated claims.
RESPONSIBILITIES AND DUTIES:
- Responsible for the investigation of assigned auto, non-complex general liability, and first-party property cases in compliance with prescribed industry best practices. This includes verifying coverage, determining liability, evaluating damages, establishing reserves, reporting status, and negotiating appropriate settlements for each claim.
- Possesses a certain level of financial authority to settle independently.
- Maintains an appropriate diary and documentation as to file activity.
- Makes determination and handles files with subrogation potential.
- Works with Independent Appraisers to estimate the cost of repair or replacement of damaged or stolen vehicles / damaged property.
- Reports theft, fraud, and arson losses as required to state and industry agencies, as appropriate.
- Performs most duties on an individual basis, and work has a direct bearing on Management results.
- Represents the Company from a public relations standpoint and must conduct oneself appropriately at all times.
- Personal contacts are a major part of activity and include Members, claimants, witnesses, vendors, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses and all other person’s incident to the investigation and processing of claims.
- Attends required or necessary training sessions, courses to maintain their license credits and to maintain up to date knowledge & skills.
- Performs other duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
- Excellent negotiation, analytical and interpretive skills
- Excellent oral, written communication and presentation skills
- Strong organizational and interpersonal skills
- Superior customer service skills
- Able to multitask and set own priorities
- Works well under pressure
- Should be used to and able to function effectively in a fast-paced environment.
- Able to establish and maintain effective working relationships with department heads, managers, employees, and vendors.
- Government claims background is a plus.
- Physical Requirements include: Bending, Pulling, Sorting, Carrying up to 20 lbs., Pushing, Speaking (English), Climbing, Reaching, Standing, Key entering, Reading (English), Walking, Kneeling, Seeing, Writing (English)
- Should be able to type 35 WPM.
- Spanish fluency is a plus.
TRAINING AND EXPERIENCE:
Position requires a degree from an accredited College/University in business or insurance preferred or equivalent experience in industry. One to three years of experience in insurance industry as a Customer Service Representative or Property or Auto Liability (no injury) adjuster. Knowledge of Microsoft Office products a must. Must have an active Florida Adjusters License.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.
**PLEASE DO NOT APPLY IF YOU ARE A SMOKER**
Classification: Exempt
Dept: Property & Liability
Reports to: Claims Supervisor
Is this job a match or a miss?
Note: If you’re asked to pay for a job, avoid the role and report the job to us immediately.