TPA

Claims Analyst - TPASenior Claims Analyst - TPAClaims Supervisor - TPALitigation Manager - TPA

Summary of Authority & Responsibility
Aggressively moves through a company-approved course of training that prepares the person to meet some of the qualifications for the Adjuster position.

Supervision
Managed by the branch manager, but daily (non-personnel) activities may be directed and measured by other claims personnel.

Minimum Qualifications
College bachelor’s degree or equivalent preferred; valid driver’s license and reliable transportation required; demonstrated oral and written communication, problem analysis, planning and organizational skills required.

Location and Equipment
Inside office environment. Must be able to use a computer with various software programs and a digital recorder.

Contact with Others
Inside contact with branch manager, adjusters, other trainees and clerical workers. Outside contact with clients, policyholders, claimants, tradespersons and attorneys.

Duties and Responsibilities

  • Complete assigned training activities on a timely basis and demonstrate adequate understanding of the concepts taught.
  • Begin pre-licensing and licensing activities required to obtain required adjuster licenses and aggressively move toward licensure.
  • Handle assigned clerical responsibilities on a temporary basis to improve understanding of workflow.
  • Handle small claims or portions of claims under strict supervision unless prohibited by licensure laws.
  • Perform any other job-related tasks as assigned by Branch Manager.

As with all positions, this function will be performed by a qualified person. No forms of improper discrimination will be used as a job qualification.

Summary of Authority and Responsibility
Investigates, estimates, evaluates, negotiates and reports property and casualty claims, inside the office.

Supervision
Managed by the Claims Supervisor or the Branch Manager.

Minimum Requirements
College bachelor’s degree or equivalent preferred; prior property and casualty claims adjusting experience required; evidence of current adjuster licensure or clear plan to achieve licensure within 90 days of employment required; demonstrated oral and written communication, problem analysis, planning and organizational skills required.

Location and Equipment
Inside office environment, must be able to use a computer with various software programs and use a digital recorder.

Contact with Others
Inside contact with Branch Manager, other adjusters, and clerical workers. Outside contact with clients, policyholders, claimants, tradespersons and attorneys.

Duties and Responsibilities

  • Handle phone investigation, taking statements, obtaining evidence
  • Prepare timely, clear and concise reports to clients in the client’s preferred report format.
  • Communicate as needed with the client to ensure the assignment is being completed accurately and the client’s needs are being met.
  • Analyze and evaluate special damages including auto estimates, property estimates, personal property inventories, medical bills, lost wage statements and medical reports.
  • Negotiate and conclude claims.
  • Analyze insurance coverage issues on specific claims and make recommendations to the client.
  • Participate in marketing activities as required.
  • Perform any other job-related tasks as assigned by Branch Manager.

As with all positions, this function will be performed by a qualified person. No form of improper discrimination will be used as a job qualification.

Summary of Authority and Responsibility
Oversee assigned adjuster’s claims handling for property and casualty claims, involving work inside the office.

Supervision
Managed by the Branch Manager.

Minimum Requirements
College bachelor’s degree or equivalent preferred; prior property and casualty claims adjusting experience required; prior management experience preferred; evidence of current adjuster licensure or clear plan to achieve licensure within 90 days of employment required; demonstrated oral and written communication, problem analysis, planning and organizational skills and effective management skills required.

Location and Equipment
Inside office environment, must be able to use a computer with various software programs and use a digital recorder.

Contact with Others
Inside contact with Branch Manager, other adjusters, and clerical workers. Outside contact with clients, policyholders, claimants, tradespersons and attorneys.

Duties and Responsibilities

  • Oversee assigned adjuster’s activities inside the office including phone investigation, taking statements, obtaining evidence
  • Review reports and offer guidance to staff to ensure timely, clear and concise reports to clients in the client’s preferred report format.
  • Communicate as needed with the client to ensure the assignment is being completed accurately and the client’s needs are being met.
  • Approve and authorize assigned adjuster’s analysis and evaluations of special damages including auto estimates, property estimates, personal property inventories, medical bills, lost wage statements and medical reports.
  • Assist assigned adjusters with negotiations to effectively resolve claims.
  • Review and evaluate coverage letters and make recommendations to the client.
  • Assist with training of new staff.
  • Complete performance reviews and evaluate progress of assigned adjusters.
  • Participate in marketing activities as required.
  • Perform any other job-related tasks as assigned by Branch Manager.

As with all positions, this function will be performed by a qualified person. No form of improper discrimination will be used as a job qualification.

Summary of Authority and Responsibility
Investigates, estimates, evaluates, negotiates and reports property and casualty claims with emphasis on litigated files and complicated coverage matters, inside the office.

Supervision
Managed by the Claims Supervisor or the Branch Manager.

Minimum Requirements
College bachelor’s degree or equivalent preferred; prior property and casualty claims adjusting experience required; evidence of current adjuster licensure or clear plan to achieve licensure within 90 days of employment required; demonstrated oral and written communication, problem analysis, planning and organizational skills required.

Location and Equipment
Inside office environment, must be able to use a computer with various software programs and use a digital recorder.

Contact with Others
Inside contact with Branch Manager, other adjusters, and clerical workers. Outside contact with clients, policyholders, claimants, tradespersons and attorneys.

Duties and Responsibilities

  • Handle phone investigation, taking statements, obtaining evidence
  • Prepare timely, clear and concise reports to clients in the client’s preferred report format.
  • Communicate as needed with the client to ensure the assignment is being completed accurately and the client’s needs are being met.
  • Analyze and evaluate special damages including auto estimates, property estimates, personal property inventories, medical bills, lost wage statements and medical reports.
  • Negotiate and conclude claims.
  • Analyze complicated insurance coverage issues on specific claims and make recommendations to the client.
  • Understand the litigation process to effectively communicate with and direct counsel and develop an effective litigation strategy
  • Participate in marketing activities as required.
  • Perform any other job-related tasks as assigned by Branch Manager.

As with all positions, this function will be performed by a qualified person. No form of improper discrimination will be used as a job qualification.