Claims Adjuster

Des Moines, IA

Posted: 8/23/2021
Team Number:
Summary Information: Category: Corporate - Location: Des Moines IA
Claims Adjuster
 
We are looking for someone to join our Claims Team! This individual will be responsible for the analysis, investigation, evaluation, and resolution of workers' compensation, auto liability, physical damage, and/or cargo claims.
 
Responsibilities:
  • Investigate auto liability, physical damage, and/or cargo claim damages. Interview or correspond with all parties to the loss. Examine photographs, surveillance video, statements, medical records, and other supporting documents to determine damages. If necessary, consult with law enforcement to determine liability.
  • Determine if additional services are needed to bring the claim to resolution and provide appropriate referrals: environmental services, independent adjuster, nurse case manager, and/or legal counsel.         
  • Oversee the action of the third party administrator to ensure compliance with Ruan's claim handling instructions.
  • Recommend acceptance or denial of claim within authority.
  • Oversee negotiations with claimant or injured worker for potential claim settlement within authority.
  • If claim is contested, collaborate with legal counsel to defend Ruan's position. Produce documentation to support the Ruan's position. May require participation in legal proceedings.
  • Maintain file documentation and all required reports; including OSHA, DOT, and post-accident drug and alcohol testing.
  • Monitor for appropriate claim reserves. Make recommendations for adjustments as necessary.
  • Protect and pursue subrogation when appropriate.
  • Perform other job-related duties and special projects as required.
Requirements:
  • Bachelor’s Degree or equivalent work experience
  • Course(s) of study: Business or related field of study. Associate in Claims designation preferred.
  • 3-5 years of Claims experience. 
  • Strong verbal and written communication skills. 
  • Demonstrates attention to detail and sense of urgency. 
  • Ability to set priorities and accomplish duties of position with minimal direction. Strong analytical, decision making, and negotiating skills. 
  • Demonstrated ability to determine liability/responsibility based on various workers' compensation and negligence statutes (comparative, contributory, etc.) at the local, state, and federal levels. 
  • Ability to communicate with all levels of management within the company. Willingness to maintain professional and technical knowledge through continuing education. 
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