Legal

Claims Adjuster

Looking to hire your next Claims Adjuster? Here’s a full job description template to use as a guide.

About Vintti

Vintti is a staffing agency that leverages the geographical advantage of Latin America to benefit US businesses. We connect companies with professionals who work in time zones closely aligned with or identical to US hours, ensuring seamless communication and collaboration. This synchronicity allows for real-time interaction, enhancing productivity and eliminating the delays often associated with offshore staffing.

Description

A Claims Adjuster plays a crucial role in the insurance industry, responsible for investigating, evaluating, and settling insurance claims. These professionals assess the extent of an insurance company's liability by interviewing claimants and witnesses, consulting police and hospital records, and inspecting property damage to determine the appropriate amount of compensation. Utilizing their in-depth knowledge of insurance policies and regulations, Claims Adjusters ensure that claims are processed efficiently and fairly, balancing the interests of both the insurance provider and the policyholder. Their expertise contributes significantly to customer satisfaction and the integrity of the insurance process.

Requirements

- Bachelor’s degree in business, finance, insurance, or related field.
- Previous experience as a claims adjuster or a similar role in the insurance industry.
- Strong analytical and investigative skills.
- Excellent communication and interpersonal abilities.
- Proficiency in claims management software and Microsoft Office Suite.
- Knowledge of insurance policies, laws, and regulations.
- Ability to interpret and apply complex information from various sources.
- Strong negotiation and conflict resolution skills.
- Attention to detail and strong organizational abilities.
- Ability to manage multiple claims simultaneously and meet deadlines.
- Valid adjuster license in required jurisdictions.
- Ability to travel for investigations and inspections as needed.
- Professional demeanor and customer service orientation.
- Strong ethical standards and integrity.

Responsabilities

- Evaluate insurance claims and determine the extent of the company's liability.
- Conduct investigations by interviewing claimants, witnesses, and professionals.
- Assess property damage and personal injury claims.
- Analyze data such as medical records, repair estimates, and police reports.
- Verify coverage and liability based on policy terms.
- Document findings and prepare detailed reports with recommendations.
- Negotiate settlements with claimants and legal representatives.
- Authorize and process claim payments promptly.
- Maintain organized and comprehensive claim files.
- Participate in legal proceedings when required.
- Collaborate with other departments to facilitate the claims process.
- Provide customer service, addressing inquiries and resolving disputes.
- Utilize claims processing software efficiently.
- Stay informed about industry regulations and best practices.

Ideal Candidate

The ideal candidate for the Claims Adjuster role will possess a Bachelor's degree in business, finance, insurance, or a related field, coupled with significant experience as a claims adjuster or in a similar capacity within the insurance industry. They will exhibit exceptional analytical and investigative skills, with a knack for interpreting and applying complex information from diverse sources, such as medical records, repair estimates, and police reports. Strong written and verbal communication abilities, paired with excellent interpersonal skills, will ensure effective interactions with claimants, witnesses, professionals, and legal representatives. Proficiency in claims management software and the Microsoft Office Suite is essential, alongside thorough knowledge of insurance policies, laws, and regulations. The ideal candidate will demonstrate robust negotiation and conflict resolution skills, high attention to detail, and superb organizational capabilities, allowing them to manage multiple claims concurrently and meet strict deadlines. A valid adjuster license, the ability to travel for investigations, and a professional demeanor are imperative. Beyond technical qualifications, the ideal candidate will exhibit a customer-focused mindset, high ethical standards, adaptability, a proactive approach, and a commitment to staying informed about industry changes. Lastly, they will possess empathy, exceptional documentation habits, and the ability to remain calm and professional under pressure, ensuring they provide outstanding service while handling claims efficiently and effectively.

On a typical day, you will...

- Review and process insurance claims by evaluating the extent of the insurance company's liability.
- Investigate claims by interviewing claimants, witnesses, or professionals.
- Examine property damage and personal injury claims.
- Verify and analyze data, such as medical records, repair estimates, and police reports.
- Determine insurance coverage and liability.
- Document detailed reports of findings and recommendations.
- Negotiate settlement amounts with claimants and attorneys.
- Authorize claim payments and ensure timely disbursement.
- Maintain accurate and organized claim files.
- Attend legal proceedings, such as depositions or court hearings, if necessary.
- Collaborate with other departments, such as underwriting and legal, to support the claims process.
- Provide excellent customer service by addressing inquiries and resolving complaints.
- Utilize claims processing software to record and review claim information.
- Stay updated on industry trends, regulations, and company policies.

What we are looking for

- Strong analytical and problem-solving skills
- Excellent written and verbal communication abilities
- High attention to detail and accuracy
- Ability to think critically and make sound decisions
- Strong organizational and multitasking skills
- Ability to remain calm and professional under pressure
- Proactive and self-motivated with a results-driven mindset
- Exceptional customer service and interpersonal skills
- Effective negotiation and conflict resolution capabilities
- High level of integrity and ethical standards
- Adaptability and willingness to learn and stay updated on industry changes
- Ability to work independently and as part of a team
- Strong time management skills and ability to prioritize tasks
- Empathy and understanding towards clients' situations
- Detail-oriented with excellent documentation habits

What you can expect (benefits)

- Competitive salary range: $50,000 - $75,000 annually
- Comprehensive health insurance (medical, dental, vision)
- 401(k) retirement plan with company match
- Paid time off (PTO) and holiday pay
- Flexible work schedule options
- Remote work opportunities
- Professional development and training programs
- Tuition reimbursement for continued education
- Employee assistance program (EAP)
- Wellness programs and gym membership discounts
- Company-sponsored events and team-building activities
- Life insurance and disability coverage
- Travel reimbursement for off-site investigations and inspections
- Performance bonuses and incentives
- Opportunities for career advancement and internal promotions

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