What are the responsibilities and job description for the Liability Claims Examiner position at Vanguard Claims Administration?
We currently have an opening for a Liability Claims Examiner. Our job requirements include: Handling liability claims from inception until completion; reviewing liability claims, litigated by counsel or insurance adjuster managed; maintaining a point person role reporting to the proper client and ensuring all time lines are properly followed; resolving claims by denial, settlement or referral to another insurance company. Specific responsibilities include:
- Performs complete liability, coverage and bodily injury investigations. Reviews and evaluates claim based on evidence obtained to determine responsible parties, liability exposure, questions of fraud or other pertinent issues
- Reads, analyzes and interprets insurance policies and endorsements, applicable state and local statutes, case law and applies to claim situations
- Orders bills and reports from medical providers of injured parties, obtain police/ambulance/fire reports, medical histories and ISO reports to determine facts and prior accident information
- Prepares and maintains file documentation, communicates with insureds, claimants or attorneys regarding progress of claim. Negotiate settlements of claims with insureds, claimants and others up to authority limits
- Draft reports to clients with recommendations for claim disposition
- Other duties as assigned