Claims Resolution Specialist [Claims Adjuster]

The salary range for this job posting is $48,024.00 - $76,838.00 annually + bonus + benefits

The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job-related factors.

Your recruiter can share more information about the specific salary range during the hiring process.

This role will handle all personal lines claims and work remote from home in our listed states and report to a Manager, Casualty Claims.

JOB OBJECTIVE :

Investigate, evaluate, negotiate and settle casualty claims and any related coverages within established best practices and applicable jurisdictional guidelines.

ESSENTIAL FUNCTIONS :

• Investigate, evaluate, settle and process claims primarily on the phone with limited in-person contact.
• Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowner's liability and commercial liability coverages.

Injury claims will generally be less serious and may involve minimal disability, wage loss and hospital treatment.

• Handle automobile physical damage claims in conjunction with material damage appraisers.
• Comply with claims organization policies, established best practices and jurisdictional guidelines.
• Comply with practices and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, and determination of claims values, completion of forms and reports, negotiation and settlement of claims.
• Comply with all state Fair Claims Practices acts and obtain state licensing as required.
• Maintain competency in the use of multiple claims systems and manage efficient and effective follow-up practices.
• Effectively investigate and close a minimum average of 75-80 losses per month.

OTHER FUNCTIONS :

• Maintain an ongoing understanding of claims processes, procedures and systems, and keep current on fair claims practices laws, compliance issues, and business-related developments.
• Make limited outside contacts at the discretion of the casualty team lead.
• Perform other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES :

• No previous insurance experience is necessary but is preferred.
• Due to the complexity of the work performed and the frequency of customer contact, experience in successfully working with customers is strongly desirable.
• Experience may be achieved in part or in full through the following : Sales experience, public service experience (e.g.

police, social work) and / or other professional-level business experience.

• Continuing education during the first two years of employment is preferred and may be obtained through the following : In-house claims training classes, The Institutes (Associate in Claims (AIC) and / or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.
• This position will require the candidate to learn all company personal lines policies and coverages, and achieve working knowledge of commercial auto and garage policies and coverages.
• The individual must learn and understand tort law, become familiar with medical terms and treatments, and be able to effectively negotiate settlements.
• The claims resolution specialist must acquire the ability to analyze uncomplicated auto damage repair estimates, and understand and negotiate total loss evaluations.
• A college degree and the ability to read, write and speak fluent Spanish is strongly desired.
• Some state insurance licensing will be required.

This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it.

This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required.

It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and / or delete functions from this job as it deems necessary for business reasons.

Ready to join our team?

At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers.

With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities.

Join us to discover a work experience where your diverse ideas will be met with enthusiasm - where you can learn and grow to your fullest potential.

What you can expect from us

Join our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to : a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday.

Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations.

Encova Insurance is an EOE / E-Verify employer.