Accounting/FinanceReno,Nevada Salary: USD 55000 - 65000 Annually Information for California residents about our collection and use of job applicant personal information can be found here: Privacy Practices Job Summary The Claims Adjuster receives, analyzes, negotiates, documents, and resolves assigned claims with values up to authorized limit, and completes associated subrogation and recovery processes. Primary Objectives Process and resolve claims, recoveries, and subrogations in a timely, efficient, and effective manner. Record claims information timely in appropriate data systems and collect, complete, and submit all required documentation. Ensure payments are processed with appropriate release and financial protocols. Coordinate and resolve claims with the business units involved. Communicate effectively with customers, business units, and management teams. Duties and Responsibilities Settle claims on behalf of the organization with an independent authority level up to $5,000. Review claims and assess extent of losses and damages based on the merits of each claim. Acknowledge and process fully-supported claims within required timeframes. Fully investigate all claims to determine liability and valuation. Process all settlements in accordance with applicable tariffs, contracts, bills of lading, and local regulations and conventions. Properly apply limitation and denial mechanisms to prevent overpayment. Provide timely notice to underwriters and coordinate handling of matters per policy provisions. Seek recoveries from underwriters as appropriate. Record and maintain claim data in claims systems in an accurate, detailed, and timely fashion. Negotiate settlements on the best terms with customers up to the level of financial responsibility assigned. Seek formal approval prior to settling claims above the assigned authority. Identify, provide timely notice to, and seek recoveries from third parties as applicable. Identify and make recommendations on loss prevention opportunities. Monitor aging on outstanding invoices; follow up or elevate as needed to ensure timely closure. Keep detailed claim financial records, including establishment and adjustment of reserves. Process all invoices associated with claims handling (i.e. surveys, studies, etc.). Manage relationships with external claims vendors to ensure ongoing relationship is maintained. Ensure internal customers are properly apprised of claims relevant to their respective areas. Communicate and coordinate with management and sales teams regarding claim settlements as needed to support client relationship management. Develop and maintain good working relationships with underwriters and third parties. Ensure compliance with company policies, contractual obligations and regulatory requirements. Identify and make recommendations for process improvements. Identify and report systems and process issues to claims management team for action. Support achievement of key performance indicators and service delivery requirements. Other duties as assigned.
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