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Continuing Action Adjuster I - CA

Company: Infinity Insurance
Location: Burbank
Posted on: November 1, 2018

Job Description:

Infinity Insurance Company is a leader in bringing specialized automobile insurance programs to the marketplace. We deliver innovative products and services that are designed to meet the diverse and evolving insurance needs of consumers. When we named our company "Infinity" we knew it was a bold title. Infinity means without end. For more than 50 years, Infinity has done justice to its name, searching for every possible way to offer the best service. The key to our ongoing success is excellence. We strive for excellence in every detail, from our policy offerings and insurance products to our hiring and training programs. We don't take excellence for granted. All of our hard work has paid off. We consistently outperform the industry by making auto insurance more accessible, easier to understand and affordable. ABOUT THIS POSITION PURPOSE OF POSITION: Responsible for the settlement of assigned claims within a stipulated monetary authority and ensuring that all are concluded promptly, equitably and economically within the provisions of the policy contract, in accordance with the damages presented, Company Best Practices and legal regulations. Work will primarily concentrate on bodily injury portions of the claim. SPECIFIC ACTIVITIES: * 1. Upon receipt, reviews each claim to ensure that all coverage and exposures issues have been identified and investigated. Recommends additional investigation if warranted and adjusts exposures as needed. Documents all actions in a timely manner in the claims system within company guidelines for Best Practices. * 2. Contacts insureds and claimants within established corporate guidelines to provide notification of reassignment of the claim and to continue the settlement process. * 3. Handles questions on coverage with a reservation of rights letter and/or non-waiver agreement. Advises the Underwriting Department of adverse findings regarding insureds and/or coverage. * 4. Conducts investigations independently and at the direction of management utilizing sound investigative procedures to establish liability as quickly as possible. * 5. Must maintain current licenses required in all assigned states. Must complete required continuing education requirements in assigned states. * 6. Answers correspondence received in conjunction with the claim within company guidelines for Best Practices. * 7. Handles all claims within the guidelines of each applicable state and in conjunction with insurance laws and any other laws applicable to that claim. Adheres to Fair Claim Practices Acts established within respective states and to company Best Practices. * 8. Makes investigative reports to the file promptly with clear and concise file documentation. Updates claim file notes and other claim information in a timely manner. Performs other reporting requirements in conjunction with the procedures established for the construction/handling of the claim file. * 9. Audits and verifies all medical bills, expense bills, wage forms or other items presented for payment consideration or evaluation. Pays all medical and expense bills in accordance with the laws established within the state and according to company guidelines for Best Practices. * 10. Negotiates and settles claims within established authority levels. Evaluates available facts and uses sound judgement to request approval for settlement that exceeds personal authority levels. * 11. Negotiates settlement of claims with all involved parties including insureds, claimants and attorneys following established settlement authority. Will train/handle litigation of a non-complex nature, small claims court cases and attend mediations. * 12. Ensures that proper release and subrogation forms are secured in a timely manner to properly protect the insured and the Company. * 13. Maintains a working diary established on each assigned claim within departmental guidelines. Reviews and processes mail and imaged documents in a timely manner. Keeps management informed of progress on claims and potential problems. * 14. Ensures that all subrogation is quickly identified and that proper subrogation letters are sent to responsible parties. Identifies and reports claims to the Salvage Unit for handling as per regional guidelines. Ensures that subrogation and salvage information is entered into the claim system as quickly as possible. * 15. Communicates professionally/effectively with management and non-management personnel as well as insureds, claimants, witnesses, agents, attorneys, appraisers, other insurance carriers and state insurance departments, etc. * 16. Required to achieve acceptable ratings on all audits and to maintain performance at acceptable levels. * 17. Attends scheduled training sessions and programs tailored for the individual needs of the incumbent in order to develop further expertise in the areas of coverage, laws and industry trends. Training will include courses to develop the medical knowledge and bodily injury evaluation abilities of the employee. * 18. Ensures that all time sensitive documents are handled timely and brought to the attention of management and the National Casualty Unit. * 19. Must have regular predictable attendance. * 20. Performs all other duties as assigned. SPECIALIZED KNOWLEDGE AND/OR SKILL REQUIREMENTS: Internal Applicants: Adjusters who have reached the Adjuster II level who have one (1) or more years of claims adjusting experience and have demonstrated proficiency in all areas of claims handling including the ability to perform routine activities with limited supervisory direction may be considered for the position. External Applicants: A minimum of one (1) year claims adjusting experience including experience with evaluation, negotiation and settlement of bodily injury claims. Claims experience may be substituted with a law degree and one year of civil litigation experience in an established practice. All Candidates: 1. Ability to effectively handle claims via an on-line claims system 2. Must have excellent planning and organizing skills. 3. Must have excellent written and verbal communication skills. Some positions may require specific bilingual skills. 4. Must have the ability to deal with conflict in an effective manner. 5. Must possess on a timely basis all licenses required by the state(s) assigned and participate in state required continuing education courses. Employees understand our commitment to a positive work environment and dedication to the utmost in service. Advancement opportunities include skill training and career paths for many positions. We take the time to get to know our customers and recognize the importance of building long-term relationships ? with our business clients as well as our hardworking employees. Come see why our team gets the job done right and has fun doing it!SDL2017

Keywords: Infinity Insurance, Burbank , Continuing Action Adjuster I - CA, Other , Burbank, California

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