Claims Adjuster 4

Job Title: Claims Adjuster 4

Location: Portland, OR 97223 (Hybrid)

Duration: 3 Months (Temp to Perm)

Major Duties & Responsibilities:

Duties include but are not limited to:

• Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy s obligation to the insured depending on the line of business.
• Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company s obligation to the insured under the policy contract.
• Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
• Sets reserves within authority limits and recommends reserve changes to Team Leader.
• Prepares and submits to Team Leader unusual or possible undesirable exposures.
• Settles claims promptly and equitably.
• Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
• Informs claimants, insureds/customers or attorney of denial of claim when applicable.

Desired Qualifications:

• 2+ or more years experience handling workers compensation claims.
• Strong communication and interpersonal skills to effectively interact with claimants, customers, insureds, brokers, attorneys, etc., in a positive manner regarding losses.
• Ability to self-motivate and work independently.
• Knowledge of company products, services, coverages, and policy limits, along with awareness of the company s claims best practices.

Education

• Bachlor degree or WC Insurance experience