Casualty Case Management B
Location: Dallas, Texas
Description: Esurance is at the momment seeking for Casualty Case Management B right now, this vacancy will be presented in Texas. More complete informations about this vacancy opportunity please give attention to these descriptions. Adjuster handles first and third party bodily injury and assignment of property damage claims and handle complex, high exposure/low limits, and high exposure/high limit claims t! o conclusion with authority levels up to $100,000 and handles claims in excess of this authority with manager supervision. Majority of the pending will be files in suit.
Responsibilities:
- Reviews, evaluates and negotiates bodily injury claims with customers directly or with attorneys.
- Develops a litigation plan, strategy, and direct defense counsel throughout the litigation process.
- Handles claims according to best practices in limiting the potential exposure to our insured and the company.
- Handles multiple car collisions and/or multiple injuries and handle claims that have customers represented and non-represented if settlement cannot be reached due to limits issues.
- Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution.
- Analyzes facts of loss, injury, and possible exposure potential for proper reserving! .
- Documents files to include all key activities, cont! acts made, statements taken, including outline covering all aspects of the claim and for resolution.
- Determines liability exposures for moderate to severe impact losses to include complex comparative negligence issues.
- Makes appropriate material damage assignments and handles initial rental assignments including handling repair and/or rental questions from the customer.
- Reviews medical records and bills to validate accuracy of services provided.
- Completes bodily injury evaluation summary including liability, damages, causation, diagnosis, treatment, reserves, and general damages.
- Utilizes expert systems to assist in the review and evaluation of claims.
- Identifies referrals, completes proper summaries and forwards files to subrogation for collection in a timely manner.
- Refers files for specialization such as SIU focus, minor damage focus and sends correspondences related to claim and department of insurance regul! ations.
- Determines the utilization of outside investigators or experts to assist in the review or investigation of more complex claims.
- Keeps the company current on state case laws or pending issues both internally and external to Esurance.
- Determines the utilization of outside investigators or experts to assist in the review or investigation of more complex claims.
- Mentors adjusters and/or sharing experiences at branch/unit meetings.
- Adjuster may attend arbitrations and/or settlement conferences.
- Detail-oriented with strong organizational, negotiation, influential, and customer service skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
- Demonstrated ability to work effectively independently and within a collaborative team oriented environment using sound judgment in decision-making.
- Demonstrat! ed ability to manage relationships with both internal and external cust! omers.
- Excellent communication skills both oral and written with strong presentation skills
- Strong analytical and problem solving skills.
- Demonstrated knowledge with MS Office products (Outlook, Word, Excel, PowerPoint) and claims related software applications.
- Demonstrated subject matter expert of medical treatments and understanding of the relationship between vehicle impact and claimed injuries.
- Demonstrated knowledge with handling complex claims involving issues of coverage
- Demonstrated knowledge in receiving and negotiating liens with healthcare providers and worker’s compensation carriers for first and third party injury claims.
- Bachelor’s degree in Business Administration, a related field, and/or equivalent education required.
- Nine to twelve years of claims adjuster experience.
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If you were eligible to this vacancy, ple! ase send us your resume, with salary requirements and a resume to Esurance.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy will be opened on: Wed, 15 May 2013 12:24:50 GMT
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