Injury Resolution Specialist

🔥 23 hours ago

🦌 Connecticut, Florida, +20 more states – Remote

🦌 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

💵 $69.2k - $110.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Encova Insurance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

💸 Finance

👥 B2C

Insurance • Finance • B2C

Encova Insurance is an insurance company dedicated to providing comprehensive insurance solutions for both personal and commercial needs. With decades of experience in the industry, Encova Insurance offers a wide range of products including home, auto, and workers' compensation insurance, while specializing in tailored commercial packages for complex businesses. They prioritize innovation and customer service, ensuring policyholders receive the support and coverage necessary for long-term success.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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