Job Details

Professional Associate - Claims

Company name

Organization Type

In-House

Job Type

Attorney

Location

Jersey City, NJ

Date Last Verified

Sep 16,2017

Posted on

Aug 01,2017
Practice Area
Insurance Coverage >> Insurance Coverage
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Professional Associate - Claims The candidate receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extent of the company’s obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Informs claimants, insureds/customers or attorney of denial of claim when applicable.

Qualification and Experience

The candidate must have JD degree or Bachelor’s degree or Master’s degree or equivalent experience. Should preferably have knowledge of insurance industry. Basic knowledge of claims handling concepts, practices, and procedures is preferred. Basic Microsoft Word, Excel, and Outlook is a plus.

Additional info

Job Number: 315144

Company info

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