Senior Claims Adjuster
- Hiring from
- United States
- Work type
- Hybrid
- Posted
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This positions offers hybrid work: mix of in person and remote work each week
Schedule: Monday - Friday
Hours: Regular Business Hours + On Call
Experience: 3+ years auto liability claims experience required
Responsible for the analysis, investigation, evaluation, and resolution of workers' compensation, auto liability, physical damage, and cargo claims. May be assigned more complex claims with larger potential exposure. Provides guidance and mentor others on the claims team.
Responsibilities:
Carrying out the Company's organizational values and operating in accordance with applicable laws, regulations, and Company policies are required functions. Essential and other important responsibilities and duties may include, but are not limited to, the following:
- Investigate workers' compensation, auto liability, physical damage, and cargo claim damages. Interview or correspond with all parties to the loss. Examine photographs, surveillance video, statements, medical records, and other supporting documents to determine damages. If necessary, consult with law enforcement to determine liability.
- Determine if additional services are needed to bring the claim to resolution and provide appropriate referrals: environmental services, independent adjuster, nurse case manager, and legal counsel.
- Oversee the action of the third party administrator to ensure compliance with Ruan's claim handling instructions.
- Recommend acceptance or denial of claim within authority.
- Oversee negotiations with claimant or injured worker for potential claim settlement within authority.
- If claim is contested, collaborate with internal and external legal counsel to defend Ruan's position. Produce documentation to support Ruan's position. May require participation in legal proceedings
- Maintain file documentation and all required reports; including OSHA, DOT, and post-accident drug and alcohol testing.
- Monitor for appropriate claim reserves. Make recommendations for adjustments as necessary.
- Protect and pursue subrogation when appropriate.
- Perform other job-related duties and special projects as required.
Job Requirements/Minimum Qualifications:
Education: Bachelors Degree or equivalent work experience.
Course of Study: Business or related field of study. Associate in Claims designation preferred.
Experience: 6-9 years
Type of Experience: Claims experience
Required Knowledge, Skills, and Abilities:
- Must be able to commit to Ruan's value statement by acting with integrity in everything we do.
- Must be able to meet behavioral expectations and perform in alignment with our guiding principles: safety, people, customer, performance, and continuous improvement.
- Strong verbal and written communication skills. Demonstrates attention to detail and sense of urgency. Ability to set priorities and accomplish duties of position with minimal direction. Strong analytical, decision making, and negotiating skills. Demonstrated ability to determine liability/responsibility based on various workers' compensation and negligence statutes (comparative, contributory, etc.) at the local, state, and federal levels. Ability to communicate with all levels of management within the company. Willingness to maintain professional and technical knowledge through continuing education.
- Demonstrates initiative and decision making skills necessary to determine the most efficient and effective manner of reaching claim resolution.
Benefits:
Ruan provides benefits which include: Medical, Dental, Vision, Disability, Life, as well as 401k and Paid Time Off.
Ruan provides benefits which include: Medical, Dental, Vision, Disability, Life, as well as 401k and Paid Time Off.
