Conduct field and desk investigations to detect fraud in high-complexity auto insurance claims, including staged accidents and questionable medical treatments. Maintain detailed investigation files, prepare comprehensive reports, and collaborate with legal, medical, and law enforcement professionals.
The SIU Analyst supports the Special Investigations Unit by conducting analytical research, identifying fraud patterns, and developing actionable intelligence. They collaborate with various departments to review referrals, conduct database research, and assist in the triage and investigation of suspicious claims.
The Claims Support Representative serves as a licensed point of contact for policyholders, providing coverage explanations and processing claim payments. They are responsible for documenting interactions, handling escalated inquiries, and determining next steps in the claim process to ensure efficient closure.
Conduct field and desk investigations to detect fraud on high-complexity auto insurance claims, including staged accidents and questionable medical treatments. Maintain detailed investigation files, prepare comprehensive reports, and collaborate with legal, medical, and law enforcement professionals.
The Total Loss Adjuster is responsible for evaluating claims, assessing vehicle damage, and determining total loss values. They must negotiate settlements with policyholders and communicate effectively with lienholders to facilitate the claims process.
Inspect and appraise damaged property, primarily automobiles, to ensure fair and accurate claim settlements. Collaborate with adjusters, repair facilities, and policyholders while maintaining detailed documentation and repair estimates.
The adjuster is responsible for investigating, evaluating, and negotiating commercial property damage claims for fleet and commercial risks. They must maintain accurate documentation, establish reserves, and communicate effectively with all involved parties.
Manage and litigate bodily injury and property damage claims while representing the company through all phases of legal proceedings. Provide expert legal advice to internal departments to ensure regulatory compliance and effective risk management.
The Auto Property Damage Adjuster is responsible for evaluating and processing insurance claims by reviewing coverage, assessing damage, and determining liability. They will also negotiate settlements with policyholders or third parties while maintaining compliance with company policies and industry regulations.
The adjuster will investigate, evaluate, and settle bodily injury claims while managing related litigation. They will collaborate with legal teams, analyze medical documentation, and negotiate settlements to ensure compliance with policy terms.
Review and process Personal Injury Protection (PIP) claims to determine coverage eligibility and validity. Coordinate with claimants, medical professionals, and legal counsel to facilitate accurate and timely settlements.
The Casualty Bodily Injury Adjuster will be responsible for investigating and processing insurance claims related to bodily injury, focusing primarily on handling non-litigated claims to ensure fair and efficient resolution. Duties include conducting thorough investigations, gathering evidence, assessing injuries and damages, and negotiating settlements within established authority limits.
