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Specialty Claims Adjuster in Nashville, TN at The General® Insurance

Date Posted: 9/6/2018

Job Snapshot

Job Description



Overview

The General® Insurance, also known as Permanent General Companies, Inc., is a growing company and a leading non-standard automobile insurance provider.  We are currently  seeking qualified applicants for Specialty Claims Adjuster.  We offer great training, a well defined career path and a fun and challenging work environment where the right candidate will learn and grow with the company.  We pride ourselves on teamwork and quality customer service.  If you do too, please check us out!

The General® offers a generous benefits package to its employees including medical, dental, vision and life insurance after one month of employment; health care and dependent care flexible spending accounts, tuition reimbursement, paid time off (vacation, sick, holidays), 401(k) participation with a matching contribution, wellness initiatives and much more!



Responsibilities

Reporting to a Claims Supervisor, this position will be primarily responsible for investigating and settling vehicle accident claims over the phone and through written correspondence.  This level of adjuster will handle claims that require intense coverage or liability investigations, including claims involving suspicious or unlawful activity.  Investigations will include obtaining recorded statements from all parties involved including police officers and witnesses, data research and review as well as following investigative leads.  Will be required to work closely and communicate with SIU field representatives to determine appropriate action plans to develop information needed to make informed claims decisions.  Claims may involve multiple vehicles, excess property damage exposures and injury exposures.  Essential responsibilities for this position include:

  • Evaluate and investigate policy coverage, liability and damages in a timely manner following a set of general claims and statutory guidelines.  The claims assigned will include claims suspected of fraud and other irregularities.  Claims may involve another level of investigative expertise such as SIU investigators, SIU Analysts, SIU Management or outside specialist.
  • Assists internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.
  • Establish initial reserves for all potential exposures and adjust as appropriate throughout the claim.
  • Investigate and evaluate claims using a lowest ultimate cost strategy.
  • Recognize excess exposures and effectively communicate verbally and in writing to the insured(s).
  • Establish and maintain appropriate diary of open claims following company guidelines.
  • Maintained assigned claim files in a confidential manner; document all relevant facts pertaining to the files.
  • Independently conduct and conclude thorough investigations which can include obtaining necessary documents and forms from claimants and insureds and conducting recorded statements. Investigations must adhere to Claims Department Goals and Objectives.
  • Analyze data and information developed to determine the need for Examinations under oath.
  • Report necessary data back to necessary parties in adherence to Claims Department goals and Objectives. Also provide reporting data to management. Provide support to Claims Partners, which may include, but is not limited to claims consultation and investigation changes, leading to increased awareness of suspicious claims.
  • Communicate clearly and regularly with SIU to develop an action plan to gather needed information to conclude claims timely and appropriately.
  • Ensure timely completion of appraisals and determine accident related damages.
  • Negotiate timely and appropriate settlements with claimants, insureds and attorneys and issue appropriate payments.
  • Process correspondence related to assigned claims.
  • Recognize recovery opportunities in regards subrogation and salvage.



Job Requirements



  • High school diploma or equivalent required. Associate's Degree in Business field or equivalent experience preferred.
  • INS or other insurance related courses preferred.
  • Minimum 2 years property claims handling experience.  
  • Proficient PC and Windows skills. 
  • Effective verbal and written communication, time management, negotiation, organization and investigative skills.
  • Customer service orientation.
  • Ability to perform basic math calculations (addition, subtraction, multiplication,  and division) as well as the calculation of averages and percentages. 

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