Job Description
Job Description: Essential Duties and Responsibilities include the following. Other duties assigned as needed. - Customer Service: Provide exceptional service to policyholders and claimants, addressing inquiries and concerns in a timely manner.
- Claims Investigation: Conduct thorough investigations of complex personal lines claims, including property damage, liability, and personal injury claims. Identify and perform coverage analysis and prepare reservation of rights/declination letters when appropriate.
- Evaluation: Assess the validity of claims by analyzing evidence, statements, and policy coverage. Utilize industry guidelines and best practices to determine settlement amounts.
- Risk Assessment: Identify and evaluate potential risks associated with claims, recommending strategies to mitigate exposure for the company.
- Negotiation: Engage with policyholders, claimants, and third parties to negotiate settlements, ensuring all parties are treated fairly and professionally.
- Documentation: Maintain accurate and detailed records of claims, correspondence, and settlement negotiations in the claims management system and ensure proper file management, evaluation, strategy, and timely reserve recommendations are handled timely.
- Collaboration: Work closely with internal teams, including underwriting, legal, and risk management, to ensure comprehensive claims handling. Oversee development of cases with defense counsel (as applicable) to include used of vendors, expert support and case strategy.
- Compliance: Ensure all claims are handled in compliance with company policies, state regulations, and industry standards.
- Reporting: Prepare and present reports on claims trends, outcomes, and recommendations for process improvements.
Qualifications to perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Education and/or Experience: Bachelor's degree from a four-year college or university; or 1-5 years related experience and/or training; or equivalent combination of education and experience.
- Experience handling attorney represented bodily injury (BI/UM/UIM) exposures in a personal line claims environment
- Minimum of [5] years of experience in claims adjusting, specifically within personal line and major/complex case handling.
- Strong knowledge of insurance policies, claims procedures, and relevant regulations.
- Excellent analytical, problem-solving, and decision-making skills.
- Strong negotiation and communication skills, both verbal and written.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage a caseload effectively.
- Experience handling physical damage exposures in a personal line claims environment
- Ability to analyze and problem solve, working closely with others to coordinate and complete projects
- Ability to think critically and resolve problems of varying complexity
- Ability to perform with minimal supervision
Preferred Skills - Auto bodily injury attorney represented and/or litigation experience in multiple states
- Multiple language skills a plus
- TX Adjuster License
Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Hallmark Financial
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