Injury Resolution Specialist

🕒 il y a 5 jours

🦌 Connecticut, Florida, +20 états de plus – Distant

🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $69 152 - $110 642 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Encova Insurance

Site WebLinkedInTous les Emplois

1001 - 5000 employés

🛡️ Assurance

💸 Finance

👥 B2C

Insurance • Finance • B2C

Encova Insurance est une compagnie d'assurance dédiée à fournir des solutions d'assurance complètes pour les besoins personnels et commerciaux. Fort de plusieurs décennies d'expérience dans le secteur, Encova Insurance offre une large gamme de produits, y compris l'assurance habitation, auto et l'indemnisation des travailleurs, tout en se spécialisant dans des packages commerciaux sur mesure pour les entreprises complexes. Ils mettent l'accent sur l'innovation et le service à la clientèle pour s'assurer que les assurés reçoivent le soutien et la couverture nécessaires à un succès à long terme.

Description

• Investigate, evaluate, negotiate and settle bodily injury claims and related coverages • Handle personal and commercial auto, uninsured and underinsured motorists, homeowners’ liability, commercial liability and limited litigation claims • Review and analyze coverage, policy conditions, provisions, exclusions, endorsements, limits, deductibles and co-insurance • Investigate and gather information, including taking statements, to determine facts of loss, liability and subrogation potential • Manage and continuously evaluate claims, including injury severity, causality and relatedness of medical treatment • Conduct medical history investigations as necessary • Determine and continually evaluate appropriate reserves • Establish action plans and use appropriate resources to move files toward resolution • Investigate, evaluate, negotiate and settle a minimum average of 20 losses per month • Comply with claims policies, best practices and jurisdictional guidelines • Complete comprehensive reports and authorization requests • Use multiple claims systems and manage effective follow-up practices • Serve as a member of claims teams as assigned • Maintain knowledge of claims processes, procedures, systems, fair claims practices laws, compliance issues and business developments • Communicate with stakeholders, including resolution specialists • Attend required seminars and workshops • Travel occasionally as required • Perform other duties and special assignments supporting business needs

🎯 Exigences

• Reside and work in one of the eligible U.S. states: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, or Wisconsin • College degree or equivalent • Considerable experience as a claims resolution specialist or equivalent experience in the industry or a related field • Strong understanding of insurance and the claims organization • Excellent telephone and personal claims negotiations, communication and investigation skills • Understanding of tort law • Thorough knowledge of medical terms and treatments • Ability to obtain, analyze and evaluate medical history and documentation • Detail-oriented organizational skills • Proven ability to evaluate serious and complicated injury claims and negotiate to a successful conclusion • Excellent knowledge of all personal and commercial lines policies and coverage written by the company • Obtain state licensing as required • Continuing education through AIC and/or CPCU designations or another accredited insurance education provider is strongly preferred

🏖️ Avantages

• Bonus • Health, Dental & Vision Insurance • Company-provided life and income protection plans • Eligibility to participate in a company incentive bonus program • 401(k) Retirement Plan - 100% company match up to 7% on annual salary • Paid Time Off, Paid Holidays, and Floating Holidays • Flexible Work Arrangements - Hybrid and remote depending on the role • Professional growth and learning opportunities