Review and explain coverage details and the claims process to customers.
Set reserves for anticipated expenses and arrange vehicle inspections and rental authorizations.
Address customer inquiries and concerns throughout the claim process to ensure satisfaction and retention.
Utilize various communication methods (phone calls, emails, texts, letters) to obtain information from involved parties, including witnesses.
Review law enforcement reports and seek out additional evidence (dash cam, surveillance video) to assess the facts of loss and determine liability.
Identify and escalate high-risk files with significant indemnity exposure or suspected fraud to supervisors for further review or investigation.
Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties.
Serve as the primary point of contact for customers, coordinating with other departments to ensure a smooth claims experience and complete customer satisfaction.
Collaborate with a team to address the needs of shared customers when necessary.

High school diploma or equivalent, Bachelor’s degree preferred
6 months’ customer service experience in a high-volume work environment or equivalent combination of education and experience
6-12 months’ claims adjusting experience, preferred
Prior experience working in a remote environment is a plus

Competitive compensation
Flexibility to work from anywhere in the United States for most positions
Paid time off (vacation time, sick time, paid Company holidays, volunteer hours)
Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
Medical, dental, vision, life, and pet insurance
401 (k) retirement savings plan with company match
Engaging work environment
Promotional opportunities
Education assistance
Professional and personal development opportunities
Company recognition program
Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more.

Claims Specialist II

Key skills