Auto Claims Job Description

Auto Claims Job Description

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Auto claims provides notice to insurance companies and assist in establishing reserves for general liability and automobile liability claims.

Auto Claims Duties & Responsibilities

To write an effective auto claims job description, begin by listing detailed duties, responsibilities and expectations. We have included auto claims job description templates that you can modify and use.

Sample responsibilities for this position include:

Collection of corporate assets from responsible parties which includes investigation of coverage issues of law, negligence determinations and general claims investigations
Resolves customer complaints, problems and coverage questions which cannot be handled by team members
Investigate all pertinent facts of the claim including verifying coverages, sending correspondence, assigning appraisers or reviewers, contacting all parties involved in the claim and following up on the claim files to ensure receipt of documentation
Ensure satisfactory client experience by addressing client’s questions and inquiries in a timely and thorough manner
Conducts physical inspections of damaged automobiles within a designated territory
Provides leadership to a team of field claim representatives who conduct physical inspections of damaged automobiles
Assign the level of settlement authority for each team member
Ensure adequacy of claims reserves reviewing on a pre-established schedule
Assures quality claim handling for all files opened by claims associates through periodic file reviews and coaching
Handle initial report of loss and control costs

Auto Claims Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Auto Claims

List any licenses or certifications required by the position: IICAR, PGI, BCP, CPCU, ASE

Education for Auto Claims

Typically a job would require a certain level of education.

Employers hiring for the auto claims job most commonly would prefer for their future employee to have a relevant degree such as Collage and Bachelor's Degree in Education, Business, Communication, Associates, Computer, Technical, Law, General Education, Applied Science, Automotive

Skills for Auto Claims

Desired skills for auto claims include:

Legal liability
Various operations with the Claims Department
General insurance policy coverage and State Tort Law
General insurance policy coverage and the State`s Tort Laws
Company operations and policies
Principles and methods pertaining to the claims field
Coverage
Automobile
Automobile insurance
Recent court decisions effecting coverage and policy changes

Desired experience for auto claims includes:

We provide comprehensive training
Ability to deliver work having a high degree of accuracy
High school or equivalent years relevant experience
Treat customers in a courteous, friendly and professional manner
3 + years in financial services or similar industry is needed
Negotiate forms of recovery with appropriate parties

Auto Claims Examples

1

Auto Claims Job Description

Job Description Example
Our growing company is searching for experienced candidates for the position of auto claims. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for auto claims
  • Provides positive customer experience while appropriately handling routine auto claims by obtaining information and maintaining accurate records about accidents from customers through telephone and written reports
  • Arranges and reschedules appraisals, reviews appraisal reports and communicates with customers, and repair shops
  • Secures essential facts about accidents, negotiates settlements and explains denials to policyholders
  • Reviews pending claims, updates claims file, executes on outstanding items, and moves files to closure expediently
  • Adjusts low to moderately complex auto claims
  • Seeks guidance from team members to resolve issues and to identify appropriate issues for escalation
  • Contributes to business goals and performance metrics, and effectively uses tools & technology
  • Current Adjuster's license or ability to obtain within a designated number of attempts
  • Processes low level general liability claims by gathering information to determine liability exposure
  • Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments
Qualifications for auto claims
  • 1-2 years auto claims experience
  • Proficiency in Microsoft Office Suite (word and excel)
  • 1-2 Years of college or equivalent education/business experience
  • Above average accounting/math required
  • Ability to work independently and have a sound knowledge of Life/Auto/Annuity mainframe and PC applications
  • Continued education and participation in industry courses is strongly encouraged
2

Auto Claims Job Description

Job Description Example
Our growing company is looking for an auto claims. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for auto claims
  • Identifies and pursues subrogation opportunities
  • Leads and develops a team of representatives/specialists ensuring the quality, accuracy, and timely resolution of claims that may include high exposure/complex cases
  • Handle moderately complex commercial auto claims including first and third party property damage exposures and bodily injury claims
  • Stay abreast of legal developments which impact the insurance industry in general those which are specific to commercial auto claims
  • Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented
  • Processes workers compensation claims determining compensability and benefits due
  • Stay updated on legal developments which impact the insurance industry in general those which are specific to commercial auto claims
  • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim
  • Calculates and pays benefits due
  • Communicates claim activity and processing with the claimant and the client
Qualifications for auto claims
  • Obtain and maintain state mandated adjuster licenses
  • Proficiency with/and ability to understand and follow regulations for State jurisdictions
  • Ability to operate in a fast paced customer focused environment, while effectively utilizing telephony and claims operating system
  • Technical ability to assess vendor performance and make recommendations leading to a strong vendor relationship
  • Ability to develop strong professional relationships with colleagues and valued partners
  • Skill to draft and enforce appropriate vendor contractual agreements
3

Auto Claims Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of auto claims. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for auto claims
  • Document all relevant facts and information in tracking systems in a timely manner to reflect appropriate claim status information
  • Processes auto claims
  • Adjust claim by evaluating and negotiating claims settlement utilizing investigative and negotiating skills with clients, claimants, attorneys and medical professionals
  • Determine reserves needed
  • Read and interpret reports to develop process improvement
  • Reviews claims estimates loss and expense costs that are received from claimants or third parties
  • Analyzes, reviews, and adjusts claims for non-Red Alert sites within assigned region Red Alert claims valued at less than $2,500 for accuracy, completeness and eligibility, consults with Claims Manager or peers for assistance as needed
  • Communicates with Account Managers, District Manager, Vice Presidents for any adjustment of a claim
  • Communicates with claimants, insurance companies and or any other parties involved with the claim
  • Acts as liaison between corporate and field offices to coordinate the gathering of information that will facilitate proper response to claim losses and legal documents
Qualifications for auto claims
  • Bachelor's degree plus 7-10 years of relevant and progressively more responsible claims work experience proven ability as a manager required
  • Openness to change, Team Player, Effective communication, Detail Oriented, Personal and Interpersonal Skills
  • Investigates any/all accidents, incl
  • Investigates multiple car, chain reaction, rear-end events
  • Investigates fire/theft cases and works closely with SIU
  • Acts as mentor, trainer, leader within unit
4

Auto Claims Job Description

Job Description Example
Our company is hiring for an auto claims. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for auto claims
  • Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
  • Handles rental subrogation claims and negotiates settlements to reducing claims costs
  • Examines claim forms, police reports and damage reports to initiate the claims process
  • Processes new claims and disseminates the claim if necessary to the insurance carrier
  • Maintains records and cross reference tickler files for processing collections and or subrogation
  • Processes claim payments
  • Monitors and adjusts records in computerized information system for daily status
  • Partners with Claims Manager providing support for pending claims in litigation
  • Settlement Authority level up to $10,000
  • Partners with claims manager on projects and development of procedural and process documentation
Qualifications for auto claims
  • Ability to maintain required levels of performance
  • Typically 2-5 years of claims experience or job equivalent experience
  • Directs auto, property, and/or physical damage policy and programs through team of Claims Policy Advisors
  • Responsible for achievement of assigned goals and objectives
  • Plans, organizes, and monitors claims policies and programs to facilitate achievement of performance objectives with Insurance Operations partners
  • Provides oversight of claims guidance, monitors performance of implemented programs, identifies trends, and develops action plans as appropriate
5

Auto Claims Job Description

Job Description Example
Our company is growing rapidly and is hiring for an auto claims. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for auto claims
  • Obtains information and maintains accurate records about accidents from customers and claimants through telephone and written reports
  • Register claims, update status notes, establish target dates, communicate with others, and release payments on automated system within limit of authority
  • Establishes a client first culture, actively coaches each team member in delivering a superior client experience
  • Coaches team to take ownership and accountability of client inquiries at first point of contact, ensuring the escalation process is followed when necessary
  • Actively leads and coaches team on activities to contribute to the achievement of Client Survey goals and responds to feedback by developing and implementing action plans to close the gaps (focusing on call quality to differentiate the client experience where it matters most to the client)
  • Accountable for managing and coaching activities that enable effective call handling and optimize client availability as reflected in teams compliance results and use of other not ready and post call processing as it relates to the team meeting compliance requirements
  • Accountable for achieving and managing team average claims handling time
  • Shares accountability to achieve required Service Level Targets and adhering to service level process
  • Accountable to drive team claim effectiveness to meet service goals through entrenched claims routines and coaching activities targeted to develop team capability
  • Coaches team to ensure appropriate advice and solutions based on client need are delivered within all client interactions
Qualifications for auto claims
  • 5+ years P&C experience or claims functional experience
  • 2 years leadership or experience leading cross-functional teams
  • Advanced ability to operate in Excel, Word, and PowerPoint
  • Familiarity with or commitment to LEAN Six Sigma Certification
  • Demonstrated experience developing and managing contact center/phone routing initiatives or programs at the strategic level
  • Experience as a Claim Service Director, Lead Policy Advisor or industry equivalent

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