About the role
Manage, investigate, and resolve assigned claims within established authority levels. Including but not limited to Auto Accidents Gather information from policyholders, claimants, witnesses, and third parties (appraisers, medical providers, repair shops) to evaluate coverage, liability, and damages Review medical records, police reports, and other documentation to assess claim severity and determine appropriate reserves Negotiate settlements with claimants and attorneys; arrange expert inspections and coordinate ancillary resources as needed Identify suspicious claims and refer to Special Investigations Unit (SIU); identify third party subrogation opportunities Maintain accurate and timely claim files, status reports, and documentation in claims systems Sends and responds to various written, telephone and SMS text inquiries to pursue resolution of the claim. High school diploma or GED required (no bachelor's degree required) 0-2 years of professional experience; customer service, legal, medical, or investigative experience a plus Strong written and verbal communication skills; ability to present information clearly, concisely, and professionally with appropriate empathy Solid analytical, investigative, negotiation, and time-management skills Detail-oriented and able to thrive in a fast-paced, customer-focused environment Demonstrates change resiliency and a growth mindset by adapting quickly to shifting claim priorities, seeking feedback, and proactively pursuing learning opportunities to improve processes and outcomes. Permanent authorization to work in the United States and ability to obtain required state licensing where applicable Comfortable using standard office software and learning claims management systems