Senior Claims - Med PIP - East Meadow, NY
Location:
East Meadow , New York
Posted:
October 21, 2017
Reference:
170007BR
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Job Summary

Investigates, determines liability, confirms coverage, and negotiates the settlement of assigned cases which include the more difficult and serious files and which may require specialized experience; provides training for new Office Claims Representative trainees, and may assist in technical file direction of subrogation, medical pay, PIP (no fault), and workers' compensation claims. Will also be required to maintain an active adjusters license in states where required.

Essential Job Functions

Conducts office investigation on assigned cases, confirms coverage, determines liability, establishes damages, reports status, and negotiates settlement (has authority to make payment of assigned claims within prescribed limits). Adjusts all types of claims. Reviews documentation on damaged property and vehicles, and determines claims related damage. Reviews and adjusts estimates provided on the cost of repair or replacement of damaged or stolen property and vehicles. Determines and reports on subrogation potential. Refers potential salvage vehicles, personal property, and miscellaneous salvage items to the Salvage COE. Reports theft, fraud, and arson losses as required to state and industry agencies. May be assigned the responsibility of training new Claims Representatives. May direct and administer most phases of the COE operation and/or perform supervisory duties as a temporary assignment. May assist clerical personnel as directed with answers to technical claims questions and decisions as to claim file activity. Performs most duties on an individual basis, and work has a direct bearing on Management results Represents the Company from a public relations standpoint and must conduct oneself as a member of Management at all times. Telephone and electronic communications are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. Performs other duties as assigned.

Physical Actions

Bending Pulling Sorting Carrying up to 20 lbs. Pushing Speaking (English) Climbing Reaching Standing Key entering Reading (English) Walking Kneeling Seeing Writing (English)

Physical Environment

Required job duties are normally performed in a climate-controlled office environment.

Education Requirements

Four-year college degree. Completion of, or actively pursuing a major insurance designation, or actively pursuing insurance related courses.

Experience Requirements

Eighteen months as a Senior Med/Pip Claims Representative.

Special Skill Requirement

Communication Personal Computer Literate Bondable

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