Investigate, evaluate and resolve assigned auto claims in accordance with company standards, procedures, and state regulatory requirements.
• Investigate, evaluate and resolve claims in accordance with company standards, procedures, and state regulatory requirements.
• Analyze and determine specific facts of loss to reach appropriate decisions and effectively communicate the company’s compensability decisions.
• Compose a variety of other written communications to insureds, claimants, attorneys and agents in a professional and error-free manner.
• Conduct detailed, comprehensive claim investigations including possible on-site scene examinations and in-person witness interviews when appropriate and necessary.
• Evaluate and document exposure to ensure accurate and timely reserves; immediately escalate to management cases with significant exposure.
• Negotiate effectively and in good faith to achieve fair and accurate claim settlements.
• Proactively manage claim files from inception to closure.
• Retain vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses.
• Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service.
• Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications.
• Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia’s business.
• Maintain a strong relationship and frequent communication with Acadia’s agency partners.
• Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process.
• Attend internal and external seminars and other training events and provide feedback to peers and/or members of management.
• Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements.
• Pursuit of industry-related professional designations is encouraged.
• Perform other duties as assigned.