Claims Manager

Primary Purpose

As a Senior Claims Representative/ Claim Manager, you will be responsible for investigating and assessing damage and loss claims.

Principal Duties and Responsibilities
 

Similar Position to a Pre-Litigation Claims Manager/Claims Manager or Insurance Adjuster.

• Daily claim review and accurate entry of required claim data into claims data base system for both third and first party claims same day as receipt of assignment.
• Within 24-hours of receipt of bodily injury claim assignment, contact and interview claimant and other involved persons to obtain missing information not contained within claim. For non-bodily injury claims, communicate with claimant and any other involved persons within appropriate time frame to obtain any missing information not contained in claim.
• Evaluate investigation results and make determination as to extent of company's liability, if any. Review medical treatment records / bills and complete required Medical Evaluation form.
• Negotiate and resolve claims in a fair and equitable manner, within designated authority level, in compliance with company's settlement practices, policies and procedures and conferring with management for any recommended settlement outside authority level for non-litigated claims.
• Subrogate against third parties to pursue risk transfer and/or monies owed to property/company.
• Perform other job-related duties as requested.

Minimum Requirements

• Bachelors degree or higher or equivalent experience
• Minimum 3+ years of related experience

Preferred

• Three (3) or more years of property and casualty claims handling experience -or-
• Experience in Gaming / Hospitality Claims- Experience working in a similar resort setting
• Or three or more years of Pre-Litigation Management experience or Insurance Adjust

Certifications, Licenses, Registrations

Proof of eligibility to work in the United States

Nevada Property & Casualty Insurance License – Preferred

Knowledge, Skills, And Abilities

• Knowledgeable of principles of property and casualty insurance and fundamentals of tort law
• Knowledgeable of basic medical terminology
• Strong knowledge and ability in active listening, deductive/inductive reasoning, critical thinking, problem solving, and diplomacy
• Strong negotiation skills to reconcile differences and bring resolve to claims in an expeditious and cost effective manner
• Able to read and write proficiently to evaluate reports, correspondence and statistical information
• Proficiency of computer software to include Outlook, MS Word, Excel, and PowerPoint as well as office equipment, i.e. telephone,
• Excellent organizational skills to function effectively under time constrains and within established deadlines, with particular
• Effective listening abilities with strong judgment skills
• Excellent customer service skills and interpersonal skills to effectively communicate with business contacts

SALARY: BE DISCUSSED BASED ON EXPERIENCE