03/24/2022

MD Telephone Claims Representative Trainee, I, II, Sr

  • National General Insurance
  • Winston-Salem, NC, United States
Full Time

Job Description

Job Summary:

Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees.

Key Responsibilities:

  • Handles investigation regarding all aspects of the most complex auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority
  • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department
  • Determines subrogation or fraud potential and how to handle for the most complex cases
  • Identifies customer needs and works to meet those needs using appropriate customer service skills
  • Recognizes and identifies body parts of a vehicle or understanding other potential property damage
  • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex/Catastrophic injury claims
  • Applies increased experience in the Sr Adjuster level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, Litigation, etc.)
  • Recommends process improvements

Supervisory Responsibilities:

This job does not have supervisory duties

Preferred Qualifications:

Education and Experience

  • Bachelor's degree preferred or equivalent experience
  • 3 or more years of related experience

Certificates, Licenses, Registrations

  • Ability to obtain and maintain adjuster licenses as required

Functional Skills

  • Advanced customer service orientation
  • Advanced verbal and written communication skills
  • Advanced time management skills from a global case management and pending perspective (vs. transactional)
  • Advanced problem solving and analytical skills; ability to detect differences and issue recognition from multiple sources
  • Proficient in Word and Outlook

Apply Now