Essential Duties & Responsibilities

• Performs a combination of duties in accordance with departmental guidelines.
• Interprets policy terms and conditions and determines if coverage applies to claims submitted, escalating issues as needed.
• Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing expenses.
• Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.
• Assignment of Independent adjusters/surveyors and attorneys in accordance with established guidelines.
• Utilizes negotiation skills to develop complex settlement packages.
• Identifies claims with third party recovery potential and coordinates with subrogation unit.
• Partners with at...