Sr. Claims Representative (Liability)

About Acrisure

Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.

Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.

Essential Duties and Responsibilities include the following. Other duties may be assigned: 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Receives claim assignments from claim supervisor; examines claim forms and other records to determine insurance coverage.
• Interviews, telephones, and/or corresponds with claimant(s) and client within established time frame, document results of these contacts.
• Consults police reports and medical records to determine nature and extent of the accident.
• Reviews medical bills to ensure treatment is reasonable, necessary and related to the injury.
• Ensures that claim file documentation and reserves are current; and keeps client advised on claim status. 
• Negotiates settlement with claimant within limits of authority.
• Coordinates and monitors litigation with attorneys.
• Brings claims to conclusion.
• Handles caseload consisting of complex liability.
• Independently prepares for and attends client meetings to discuss claim status, reserve levels and action plans.
• Participates in mentoring program to assist in the professional development of less experienced adjusters. 
• Assists with client development, education, and problem solving.
• Completes Excess reports and requests for reimbursement; submits these to carrier; follows up for recovery.
• Handles claims involving subrogation from investigation through recovery.

Additional Responsibilities:

• On-site investigation of claims when necessary.
• Mentors less experience co-workers to develop their understanding of procedures, state laws, and help others improve their claims handling ability
• Analyzes and resolves client issues independently. 
• Other duties may be assigned

Qualifications:

Education and Experience:

• High school Diploma or equivalent is required.
• 5-7 years prior experience handling auto/general liability claims/ or an equivalent combination of training, education and experience.
• Active multi-state adjuster licenses required.    
• Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required.
• Analytical thinking skills are needed to properly evaluate complex claims.
• A strong attention to detail is necessary as claims adjusters must carefully review documents and policies.
• Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred.
• Ability to listen well and negotiate with constituents is needed.
• Basic computer skills or the ability to quickly learn new software are required- Microsoft Word, Excel and Outlook experience.
• A strong work ethic and time management skills is needed, to efficiently handle a large caseload.
• Ability to establish and maintain good rapport with clients and claimants is needed.
• Ability to calculate figures is required.

Language Skills

• Ability to read and interpret documents such as instructions and procedure manuals.
• Ability to write routine correspondence and effectively present information one-on-one.
• Ability to respond to inquiries and complaints.
• Ability to read, analyze, and interpret general business periodicals, professional journals, financial reports, legal documents, and government regulations.
• Ability to effectively present information in group situations.

Reasoning Abilities

• Ability to carry out instructions furnished in written or oral form.
• Ability to deal with problems involving several variables.
• Ability to solve practical problems and deal with situations where limited standardization exists.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Mathematical Abilities.
• Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals.
• Ability to compute basic percentages.