[Hiring] Claims Adjuster II @LMNC

Role Description

Claims adjusters manage assigned files throughout the entire claims process from intake to ultimate disposition. This includes investigating, evaluating, and concluding automobile and general liability claims such as property damage, bodily injury, personal injury, and errors or omissions claims. Claims adjusters must effectively communicate the complexities of the claim to those who are involved so that a successful, supportable disposition of the case is accomplished.

• Receives and reviews loss notices for a wide variety of claims/losses for such things as no-fault, uninsured, and underinsured motorist, auto liability, auto physical damage, property, general liability, personal injury and errors or omissions liability claims.
• Contacts Trust member, injured party, any witnesses, and any other party having information about the claim.
• Accurately reviews coverage for a claim presented and clearly communicates any coverage issues.
• Develops and gathers factual information and presents that information to bring claim/loss to a satisfactory resolution.
• Conducts investigation of accidents, as appropriate; verifies extent of physical injuries through medical services received, police, and other public authority reports confirming the occurrence of an accident and type of damages.
• Secures recorded or written statements of insured, claimant, witnesses, and any other parties to the claim/loss.
• Secures all other possible documentation to assess the claim/loss values and merits.
• Comprehends and demonstrates actual cash value vs. replacement cost of property to include salvage disposition.
• Prepares oral/written documentation and report of investigation and evaluation utilizing competent investigation techniques.
• Provides evaluation of fault, negligence and liability to effectively conclude claim/loss.
• Makes recommendation on disposition of the claim.
• Negotiates settlement, which may include denial of liability, denial of coverage, or compromise dollar settlement.
• Recognizes need for experts to include IME’s, legal services, reconstructionist, and surveillance.
• Effectively utilizes and manages these service providers.

Qualifications

• Bachelor’s Degree (or equivalent experience) and 3-5 years of related work experience in either the insurance field or local government.
• Demonstrated ability to communicate effectively in oral and written forms.
• Considerable evaluation and problem-solving skills.
• Considerable skill in human relations and dispute resolution.
• Computer proficiency including MS Office products.
• Must be available to investigate and handle claims outside of the League’s regular business hours, when necessary.
• Must be capable of conducting field inspections which may involve being present at accident scenes.
• Must have an automobile available and be able to travel for the purpose of investigating and handling claims.
• Valid MN Driver’s License.

Requirements

• Demonstrates considerable analytical ability, negotiation skills and good judgment in resolving a wide variety of claims.
• Demonstrates ability to manage multiple files bringing them to a successful conclusion.
• Demonstrates coordination and management of resources in cases involving litigation.
• Demonstrates ability to involve use of Alternative Dispute Resolution (ADR).
• Effectively communicates with governmental employees and officials explaining the claims process and any coverage issues in a clear and understandable manner.
• Meets or exceeds League Empowerment and Performance Program (LEAPP) results/timelines and other department performance measures.
• Promotes diversity and inclusion objectives, including race equity objectives, defined by the League and continually examines own performance to eliminate implicit bias in carrying out duties and interacting with the public, coworkers, and members.