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Manages, investigates and resolves claims assigned and assists in providing service to policyholders.
Responsibilities:
- Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
- Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
- Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports.
- Ensures adequacy of reserves.
- Accountable for security of financial processing of claims, as well as security information contained in claims files.
- Makes effective use of loss management techniques. Negotiates settlements with attorneys, claimants, and/or co-defendants. Arranges for expert inspections involving third party or potential fraud actions as needed.
- Updates files and provides comprehensive reports as required
