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Claim assistant

Sunrise Systems Inc
Overland Park, KS Full Time
POSTED ON 12/13/2024
AVAILABLE BEFORE 2/8/2025

Job Title : Claims Assistant

Location : Overland Park, KS 66210

Duration : 6 months

Position Type : Hourly contract Position (W2 only)

Note

Training-During 4 weeks of training will be 40 hours per week on site. At manager's discretion, will determine if ready for hybrid schedule

Work schedule-Hybrid- in office 3 days / WFH 2-this schedule will be discussed at interview

Work Hours-8 : 00am-5 : 00pm

Interview-One 45 minute interview

Summary :

Client is seeking an experienced Auto, General & Liability (AGL) Claims Adjuster for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the client team.

Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines.

Job Responsibilities :

  • Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
  • Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc.

to secure necessary claim information.

  • Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.
  • Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract.
  • Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
  • Sets reserves within authority limits and recommends reserve changes to Team Leader.
  • Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
  • Prepares and submits to Team Leader unusual or possible undesirable exposures.
  • Settles claims promptly and equitably.
  • Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
  • Informs claimants, insureds / customers or attorney of denial of claim when applicable.

Skills :

  • Technical claims knowledge and competence as evidenced by a minimum of 2 years claims handling experience in specific line of business (Auto)
  • Experience within a TPA environment strongly preferred. Required to obtain specific state licenses.

Knowledge of coverages; along with a good understanding of applicable legal principles.

  • Knowledge of auto liability cost containment programs and proven account management skills a must.
  • Strong communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external.
  • Strong analytical and problem-solving ability.
  • Demonstrated ability to provide consistent superior service to customers.

Education / Experience

Preferred TX or FL license with preferred experience 1-3 years

Contact :

Abdul Ajeej Cell : 732-272-0361 Email : Abdul.A@Sunrisesys.com

Last updated : 2024-11-20

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