Claims Representative
Location: Springfield, Missouri
Description: American National Family of Companies is at present looking to employ Claims Representative right now, this occupation will be reside in Missouri. Further informations about this occupation opportunity please give attention to these descriptions. 1. Assume responsibility for low to medium severity injury claims, including soft tissue, etc.
2. Review facts of loss and details of coverage via the computer system.
3. Determine investigative needs to assess liability and set proper reserves.
4. Document computer log with results of review and intentions for handling.
5. Contact relevant parties. Take recorded statement, discussing liability, any MIST issues, identify SIU factors, etc. Explain claims process, medical forms and coverages. Document contact with all parties. Send appropriate medical forms.
6. Determine inspection needs, order police reports, scene investigation, take witness statements, review Material Damage photos, order medical reports, etc. Assess any follow-up investigative needs.
7. Compile information for decision making with recognition/discussion of claims committee and reinsurance issues, where appropriate. Evaluate the medical injury exposure within guidelines, and make appropriate and timely payments.
8. Communicate and negotiate decision with appropriate parties to conclusion. Educational Equivalent â€" College degree required or equivalent industry
experience or advanced degree;
insurance training preferred.
Specialized Training â€" A Minimum of 2 years of telephone adjusting or equivalent field experience is preferred, including previous training or experience in determining liability, negotiating settlements, reviewing estimates and understanding medical terminology.
Specific Abilities â€" Ability to handle moderate size first and third party
claims. Good claims investigative skills. Ability to negotiate claim
settlements effectively with attorneys. Must be able to work with the public
and company personnel cordially and respectfully. Bilingual (Spanish
speaking) skills preferred.
Specific Knowledge â€" Must have considerable knowledge of policy forms
and coverages. Medical terminology is helpful.
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If you were eligible to this occupation, please send us your resume, with salary requirements and a resume to American National Family of Companies.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be started on: Mon, 23 Jul 2012 23:58:12 GMT
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