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Auto/BI Claim Adjuster

Location : Calabasas, CA
Job Type : Direct
Hours : Full Time
Required Years of Experience : 5 Years+
Travel : No
Relocation : No

Job Description :
A successful Claims Adjuster will work under minimal supervision and be responsible for managing the settlement and pre-litigation of complex, high-value personal auto claim files. This candidate will regularly and customarily set appropriate reserves and/or resolve liability, bodily injury, Uninsured and Underinsured Motorist claims in a cost-effective manner. It is the Adjuster’s responsibility is to assess coverage against an insurance policy and determine the value of the settlement. In the case of complex, high-value claims, the Adjuster will conduct an investigation to determine liability. Depending on the liability decisions made a reasonable settlement offer may be made to the claimant. Adjusters understand the time sensitive manner in which complex high-value claims should be handled. 

Essential Job Functions

·         Review and analyze information including coverage, liability, medical records and other documents as necessary in order to resolve claims

·         Analyze and determine value of claim to set case reserves adequately

·         Evaluate claims and if loss value exceeds granted authority limit, present claim to management committee for review

·         Negotiate settlement, obtain appropriate releases, protect liens and authorize settlement payments

·         Maintain detailed diary of all claims and update file information to ensure an accurate record of claims activity

·         Review, monitor and control progress and expense of pending claims and comply with company standards of claims handling and closure ratios

·         Analyze, interpret, and evaluate relevant information essential in settling complex high-value liability and bodily injury claims

·         Identify red flags and refer suspect claims to SIU for further review

·         Ensure fast and fair claims handling compliant with applicable DOI regulations

·         May work on previously worked on and/or closed claims files

Perform other duties as required by management
Required Qualifications :

 Required Skills and Experience:

·         Minimum of five (5) years in the insurance industry resolving injury claims

·         Excellent written and verbal skills to effectively and professionally correspond and negotiate with claimants, insureds, agents, attorneys, etc. in order to settle injury claims

·         TX Adjusters license preferred, but ability to obtain a TX Adjuster’s license is required

·         Significant knowledge of medical and legal terminology and practices

·         Must be professional, highly organized and detailed oriented

·         Work with little supervision and be able to multi-task

·         Working knowledge of Microsoft Office - Word, Excel and PowerPoint

·         Strong analytical and problem-solving skills required

Canon Recruiting Group, LLC. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Canon Recruiting Group, LLC. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.


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