Claims Adjuster

Accounting/Finance – Reno, Nevada

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The Claims Adjuster receives, analyzes, negotiates, documents, and resolves assigned claims with values up to authorized limit, and completes associated subrogation and recovery processes.

• Process and resolve claims, recoveries, and subrogations in a timely, efficient, and effective manner.
• Record claims information timely in appropriate data systems and collect, complete, and submit all required documentation.
• Ensure payments are processed with appropriate release and financial protocols.
• Coordinate and resolve claims with the business units involved.
• Communicate effectively with customers, business units, and management teams.

• Settle claims on behalf of the organization with an independent authority level up to $5,000.
• Review claims and assess extent of losses and damages based on the merits of each claim.
• Acknowledge and process fully-supported claims within required time frames.
• Fully investigate all claims to determine liability and valuation.
• Process all settlements in accordance with applicable tariffs, contracts, bills of lading, and local regulations and conventions.
• Properly apply limitation and denial mechanisms to prevent over payment.
• Provide timely notice to underwriters and coordinate handling of matters per policy provisions.
• Seek recoveries from underwriters as appropriate.
• Record and maintain claim data in claims systems in an accurate, detailed, and timely fashion.
• Negotiate settlements on the best terms with customers up to the level of financial responsibility assigned. Seek formal approval prior to settling claims above the assigned authority.
• Identify, provide timely notice to, and seek recoveries from third parties as applicable.
• Identify and make recommendations on loss prevention opportunities.
• Monitor aging on outstanding invoices; follow up or escalate as needed to ensure timely closure.
• Keep detailed claim financial records, including establishment and adjustment of reserves.
• Process all invoices associated with claims handling (i.e. surveys, studies, etc.).
• Manage relationships with external claims vendors to ensure ongoing relationship is maintained.
• Ensure internal customers are properly apprised of claims relevant to their respective areas.
• Communicate and coordinate with management and sales teams regarding claim settlements as needed to support client relationship management.
• Develop and maintain good working relationships with underwriters and third parties.
• Ensure compliance with company policies, contractual obligations and regulatory requirements.
• Identify and make recommendations for process improvements.
• Identify and report systems and process issues to claims management team for action.
• Support achievement of key performance indicators and service delivery requirements.
• Other duties as assigned.

Education

• Associate's degree or equivalent combination of college-level coursework and experience required

Work Experience

• 3+ years’ related, relevant claims experience (e.g. cargo transportation) required

Required Knowledge,

Skills and Abilities

• Knowledge of and ability to apply handling characteristics of specialty cargo in claims adjudication process (e.g. Container, OHW, Auto, Logistics).
• Knowledge of applicable and industry-related policies, practices, procedures, regulations and laws.
• Ability to work independently, prioritize work, and drive open items to closure.
• Demonstrated business communication (verbal, written, interpersonal, and customer relations) skills; ability to effectively present complex topics in a concise manner.
• Skill in collecting and analyzing complex data, evaluating information, drawing appropriate conclusions and presenting.
• Proven ability to identify critical issues, prioritize effectively, and execute quickly.
• Proficiency in the use of claims RMIS or other claims database software.
• Demonstrated proficiency with use of Microsoft Word, Excel, and PowerPoint.

• Delivers Results Rigorously drives self and others to achieve…