Claims Adjuster
Core
Investigate and resolve insurance claims, assess coverage, and process indemnity payments to ensure client satisfaction and compliance.
Role type
Claims Adjuster
Builds
Accurate claim decisions and timely indemnity payments
Domain
Insurance / Credit Insurance
Deliverable
client delivery
Required skills
Claims investigation, Coverage assessment, Indemnity payment processing, Fraud detection, Stakeholder negotiation, Regulatory compliance, Subrogation management, Claim reserve management, Microsoft Excel proficiency, Business law knowledge
Preferred skills
Valid adjuster's license, Credit insurance industry experience, Insolvency procedures knowledge
Responsibilities
Review and analyze claim documentation to determine coverage eligibility, Investigate claims and evaluate supporting data to ensure accurate decisions, Communicate findings and negotiate outcomes with internal and external stakeholders, Escalate and propose next steps for claims exceeding delegated authority, Maintain accurate and up-to-date claim reserves using internal systems, Prepare and process indemnity payments in a timely manner in accordance with delegation levels, Conduct investigations with a focus on fraud prevention, Serve as the primary point of contact for clients and brokers, Respond to inquiries, resolve disputes, and provide regular claim status updates, Identify recovery opportunities, including subrogation, and take action to maximize recoveries
Seniority
Mid-Senior, hands-on IC