Commercial Casualty Claims Adjuster (The Mutual Group) - Remote Opportunity

at  GuideOne Insurance

West Des Moines, IA 50265, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate24 Jun, 2024USD 97500 Annual25 Mar, 2024N/APunctuation,Difficult Situations,Communication Skills,Computer Skills,Texas,Grammar,Calculations,Microsoft Applications,Indemnity,Spelling,FloridaNoNo
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Description:

The Mutual Group (TMG) is a comprehensive, integrated insurance operations platform dedicated to helping mutual insurance companies. We offer access to a modern, professional operating platform, including surplus support, technology, claims, underwriting, finance and a broad range of other resources for our members. We’re new, and we’re growing!
As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life’s work without unnecessary delay. If you are optimistic, enjoy helping others in times of need, and are compassionate about making positive change in the world, this may be the role for you.

REQUIRED QUALIFICATIONS:

  • 5 or more years in the handling of Commercial Liability Claims.
  • Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using best practices.
  • Ability to take responsibility and work independently in a home based environment.
  • Ability to negotiate skillfully in difficult situations.
  • Willingness to travel periodically.

RECOMMENDED QUALIFICATIONS:

  • Bachelor’s degree preferred
  • New York, Florida or Texas claims handling license preferred
  • Willingness to obtain state licensing or certification where required
  • Ability to formulate sound expense, indemnity, and business judgment while supporting loss evaluations and presenting them effectively.
  • Basic computer skills including Microsoft applications
  • Perform work related simple and advanced mathematical problems and calculations
  • Compose written correspondence and factual reports which are well organized and concise, utilizing proper English, grammar, punctuation, and spelling
  • Strong oral and written communication skills.

Responsibilities:

  • This position handles Commercial General Liability, Director’s & Officer Liability, Employment Practices Liability, Commercial Auto injuries, Contractor’s Pollution Liability, Professional Liability and other Casualty exposures.
  • Investigates coverage and cause of loss on routine to more complicated claims, which includes but is not limited to policy review, interviewing all parties associated with the loss and gathering and analyzing all necessary investigative documentation.
  • Handles non-represented, represented and litigated injury and property damage claims including investigating and evaluating those exposures. Identifies exposures with significate severity to triage to the large loss team.
  • Provides accurate assessments and negotiates fair and efficient claims resolutions while managing costs. Settles losses according to the documented damage, the language of the policy of insurance, pertinent regulatory and statutory considerations and within granted authority.
  • Prepares written communication, including but not limited to settlement letters, disclaimers of coverage and reservation of rights letters.
  • Maintains effective claim file documentation and diary system. Monitor diary to achieve timely development of file and timely disposition of the claim.
  • Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated.
  • Assigns and supervises field examiners and vendor resources, including but not limited to independent adjusters, engineers and other experts as needed.
  • Assumes additional duties as defined.


REQUIREMENT SUMMARY

Min:N/AMax:5.0 year(s)

Insurance

Banking / Insurance

Insurance

Graduate

Proficient

1

West Des Moines, IA 50265, USA