What are the responsibilities and job description for the Claims Adjuster III position at Bluefire Insurance Services, Inc.?
Purpose
Responsible for the accurate and timely investigation, evaluation and negotiation of first and third party private passenger automobile liability claims, including physical damage and bodily injury claims
Essential Duties & Responsibilities
Handles claims which may have multiple features identified upon report or likely to arise during the investigation of the claim including attorney represented injury claims and claims involving litigation
Reviews all claims assignments to ensure accuracy of prior claim handling in development of ongoing claims strategies
Proactively investigates and resolves coverage, liability and damages
Ensures proper diary management on all claims
Accurately evaluates special and general damages
Escalates all potential large loss and extra contractual exposures through management chain
Negotiates settlement of claims directly with the injured party, legal guardian
Creates and executes timely defense strategies to accurately and efficiently resolve all claim exposures
Delivers customer service according to company expectations
Develops and manages effective cost defense strategy
Works with direct defense counsel both staff and outside counsel
Qualifications and Education Requirements
A Bachelor's Degree is preferred
Claims Adjuster license
5 - 7 years of casuality experience
Ability to secure and maintain adjuster's license
Knowledge of State specific insurance laws and regulations
Knowledge of medical terminology and human anatomy
Knowledge of civil procedures
Preferred Skills
Bilingual (English/Spanish) is preferred
Demonstrate strong interpersonal and communication skills, both verbal and written
Ability to effectively present information and respond to questions from management, employees, clients and customers
Strong analytical and negotiation abilities
Excellent organizational and time management skills required
Intermediate to advanced knowledge & skill in Microsoft Office products
Ability to work independently, think creatively and exercise strong, sound judgment
Ability to prioritize activities and projects while staying organized
Ability to process high volumes of work while meeting deadlines
Other Duties
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
