What are the responsibilities and job description for the Senior Bodily Injury Claims Adjuster position at Hallmark Financial LLC?
Job Description :
Essential Duties and Responsibilities include the following. Other duties assigned as needed.
- Customer Service : Provide exceptional service to policyholders and claimants, addressing inquiries and concerns in a timely manner.
- Claims Investigation : Conduct thorough investigations of complex personal lines claims, including property damage, liability, and personal injury claims. Identify and perform coverage analysis and prepare reservation of rights / declination letters when appropriate.
- Evaluation : Assess the validity of claims by analyzing evidence, statements, and policy coverage. Utilize industry guidelines and best practices to determine settlement amounts.
- Risk Assessment : Identify and evaluate potential risks associated with claims, recommending strategies to mitigate exposure for the company.
- Negotiation : Engage with policyholders, claimants, and third parties to negotiate settlements, ensuring all parties are treated fairly and professionally.
- Documentation : Maintain accurate and detailed records of claims, correspondence, and settlement negotiations in the claims management system and ensure proper file management, evaluation, strategy, and timely reserve recommendations are handled timely.
- Collaboration : Work closely with internal teams, including underwriting, legal, and risk management, to ensure comprehensive claims handling. Oversee development of cases with defense counsel (as applicable) to include used of vendors, expert support and case strategy.
- Compliance : Ensure all claims are handled in compliance with company policies, state regulations, and industry standards.
- Reporting : Prepare and present reports on claims trends, outcomes, and recommendations for process improvements.
Qualifications to perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Preferred Skills
Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
