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Claims Adjuster – Casualty in Lewisville, TX at QuestPro Consultants

Date Posted: 11/16/2018

Job Snapshot

  • Employee Type:
    Seasonal/Temp
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/16/2018

Job Description


Our Client in Lewisville, TX has immediate needs for 2 Adjusters (Auto Liability and General/Products Liabilitiy) Claims Adjusters.  These are possible temp to hire positions. Perm salary max is $45K. 


PRIMARY PURPOSE:

To analyze mid- and higher-level auto liability or general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.


ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Manages general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

• Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

• Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.

• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

• Manages subrogation of claims and negotiates settlements.

• Communicates claim action with claimant and client.

• Ensures claim files are properly documented and claims coding is correct.

• May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

• Maintains professional client relationships.



QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred. Licenses as required.