Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines. Responsibiliti

Investigates, evaluates and resolves Commercial Automobile, and General Liability claims for self insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned cl

Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect chang

The Corporate EDI Specialist is responsible for implementing techniques to reduce the financial impact and increase acceptance rate of state electronic reporting. This role provides high level EDI support to the local claim teams, focused on proactive claim management approaches to ensure compliance in accordance with the jurisdictional requirements. Review EDI Report dai

Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdi