Claims Examiner

Position Summary:
Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition.

Responsibilities:
-Provides voice to voice contact within 24 hours of first report.
-Conducts timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel.
-Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Records necessary statements.
-Identifies resources for specific activities required to properly investigate claims such as Subro, Fire or Fraud investigators and to other experts. Requests through Unit Manager and coordinates the results of their efforts and findings.
-Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
-Maintains effective diary management system to ensure that all claims are handled timely. Evaluates liability and damages exposure, and establishes proper indemnity and expense reserves, at required time intervals.
-Utilizes evaluation documentation tools in accordance with department guidelines.
-Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.
-Negotiate disposition of claims with insured's and claimants or their legal representatives. Recognizes and implements alternate means of resolution.
-Maintains and document claim file activities in accordance with established procedures.
-Attends depositions and mediations and all other legal proceedings, as needed.
-Protects organization's value by keeping information confidential.
-Maintains compliance with Claim Department's Best Practices.
-Provides quality customer service and ensures file quality
-Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs.
-Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner.
-Participates in special projects as assigned.
-Some overnight travel maybe required.
-Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures.

Qualifications:

-Associate's Degree required; Bachelor's Degree preferred (extensive experience may be allowed in lieu of degree)

-620 Licensure required

-1-3 years of Property/Homeowner Claims experience required -Experience with Xactware products strongly preferred -Demonstrated ability to research, conduct proactive investigations, and negotiate successful resolutions

-Excellent communication skills and able to interact on a professional level with internal and external personnel

-Results driven with strong problem solving and analytical skills

Point of Contact:

Justin Collop

(813) 636-1071

About Aerotek: Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit aerotek.com. Aerotek is acting as an Employment Agency in relation to this vacancy.