Wisconsin, Georgia, North Carolina, Tennessee, Nevada, Pennsylvania Illinois,-Florida-Florida, Ohio, Nebraska, North Dakota, Minnesota, Alabama, North Carolina, Michigan
Missouri, Maine, Massachusetts,-Montana, Connecticut, Mississippi, Wyoming
-West Virginia,-Wisconsin, Kentucky, Kansas, Rhode Island, Indiana, Pennsylvania, Illinois, Virginia, Oklahoma, Ohio, Arkansas,
This is a great opportunity to have a work/life balance. Work from home, Monday-Friday, 8-5pm MST.
Primary Purpose:
Examine claims data, investigate the facts of loss, determine coverage and liability, and adjusts claims within the limit of authority.
Essential Duties and Responsibilities:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Establish an investigative plan; initiate an investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, may review loss reserves, and adjust or opens hidden exposures as necessary
Evaluate and adjust claims within the limit of authority and summarize claims in excess of authority and submit to manager for approval
Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices; make decisions on the best option
Make appropriate contacts to discuss a settlement; extend an offer to the appropriate party; document all file activity and payment/settlement information in file notes clearly outlining basis for settlement
Determine subrogation or fraud potential and refer to Unit when the potential exists or handle to conclusion
Identify customer needs and work to meet those needs using appropriate customer service skills
Develop an understanding of the functions of other departments, such as Policy Ops and Marketing
Trainee
Shadow and learn the above stated essential duties and responsibilities
Learn to handle most aspects of auto claims
Develop a basic understanding of the content of policies written by the company
Develop a basic understanding of the insurance industry and the organizational relationships of the company
Learn how to determine subrogation or fraud potential and how to handle
Develop a basic understanding of systems and technology used within the company
Level I
Receive claim assignments and verify/investigate coverage and document all appropriate information before the the Manager is involved with the review of claims to ensure they are commensurate with ability
May handle more complex files with appropriate supervision to develop skills
Develop a working knowledge of systems and technology used within the company
Level II
Receive claim assignments and verifies/investigates coverage and document all appropriate information
Determine claim approval and or denial up to $7,500 per exposure or $10,000 per file
If handling PIP may participate in investigations of medical providers and attend EUOs
May work with attorneys in resolving lawsuits
Conduct negotiations and settlements within authority level, using independent judgment, or within discretionary levels granted above individual authority level
Track and document the quality of service provided by defense counsel and manage litigation and recovery costs
May assist in the training of Claims Representatives
Proficient in using all systems and technology used within the company
May be required to make personal appearances on behalf of the company when requested
Senior
Receive claim assignments and verify/investigate coverage and document all appropriate information with very limited Supervisory involvement
May inspect the damaged property during an investigation
May work with attorneys in resolving serious and complex lawsuits which may mean: conduct negotiations and settlements within authority level, track and document the quality of service provided by defense counsel and manage litigation and recovery costs, and assist manager with the research of complex issues and development of defense strategies on litigated files
May assist in training and development of other team members or serve as a mentor for others
May assist with file reviews and audits
Proficient and able to train others in using all systems and technology used within the company
May be required to make personal appearances on behalf of the company when requested
May also assist manager with preparing reports and completing projects
Primary Purpose:
Responsible for being the primary claim holder for specific areas within the Claims Department which includes investigating, researching, determining coverage, estimating damage, negotiating settlements and making recommendations on legal and claim coverage issues. Provide exemplary and expeditious claim service to the policyholder and agent of record. This is an inside position handling Auto claims in multiple states and venues.
Essential Duties and Responsibilities:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Handle assigned Auto claims by determining coverage, identifying damages and resolving claim within a set amount of time
Answer questions from others within National General on high net worth claim processes and procedures
Adhere to claim best practices and workflows that support a fast-paced, high growth environment
Provide excellent customer service to diverse groups of people (vendors, customers, team members, etc.) by meeting customer’s needs in a timely manner and managing expectations as needed
May direct, control and manage the work of vendor partners to ensure their work meets our expectations in regard to quality and expense
Minimum Skills and Competencies:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
2+ years of experience handling Auto claims including liability and coverage investigations
Obtain/Maintain appropriate licensing or educational requirements
Thorough knowledge of claims policies and procedures
Ability to work independently and remotely as a self-starter
Ability to work in a team environment
Skills in research, investigation and problem solving
Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines
Must be customer-focused
Must possess effective verbal and written communication skills
Ability to successfully work in a fast-pacedPowerpoint, changing environment
Proficient in MS Office (Word, Excel, Power point)
Ability to travel up to 10+%
A clear understanding of the auto industry
Experience with High Net Worth claims
Claims experience with high valued vehicles
Auto estimate knowledge and ability to assess auto physical damage from photos
CPCU, AIC or SCLA is preferred but not mandatory
Desired Skills:
Professional designation in the area of concentration
National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.
Primary Purpose:
Supervise and direct the review of claim files within an autonomous unit to ensure they meet defined file quality standards as defined by internal and external requirements, in an objective and consistent manner for the Claims Department. Ensure claim file reviews address opportunities for improvement and provide feedback in a positive learning environment, with the goal being continuous improvement. Train, develop and provide technical guidance to Auditors.
Essential Duties and Responsibilities:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Assist in audit process & schedule development, implementation, modification and management
Provide guidance & direction to team on the technical aspects of auditing, data analysis and reporting
Responsible for the proper assignment, completion of audits and reporting within a set time period
Partner with Claims management at all levels, Compliance, Training and process leaders to ensure optimal calibration around claims handling quality expectations and opportunity areas for improvement
Lead and participate in complex projects, special events and group presentations as needed
Coach and counsel others on strengths and areas of opportunity by providing feedback and valuing other perspectives
Auditor hiring, administration, performance management and salary changes
Assist with budget development and manage unit expenses
Minimum Skills and Competencies:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
High degree of initiative, mature judgment and discretion
Effective verbal and written communication skills, strong active listening, persuasion and negotiation skills
Effective planning, organizational, time management and project management skills
Thorough knowledge of policies & procedures, claims to handle processes, and state legal and regulatory issues
Solid knowledge in any combination of the following technical areas: coverage and liability assessment, material damage estimates, property/homeowners, RV, PIP, bodily injury claims and/or resolving claims in litigation
Solid understanding of global company knowledge and totality of the impact of decisions
Solid understanding of the insurance industry and organizational relationships of the company
Solid understanding of the functions of other departments (i.e. Policy Ops, Marketing, Finance)
Solid skills in Microsoft Office (Word, Excel, Outlook, PowerPoint)
Able to manage remote employees across the country effectively
Desired Skills:
Effective skills in leadership
7+ years of experience in the Insurance Corporate Claims Auditor position
Successful completion in one or more of the following areas: CPCU, LPCS (legal principles), AIC (Associate in Claims), AIM (Associate in Management), CIA (Certified Internal Auditor), SLCA (Senior Claims Law Associate which includes FCLS-fraud, PCLS-property, CCLS-casualty, and LPCS-legal principles) and/or Advanced Educational Degree (MBA, JD, etc)
National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.
Primary Purpose:
Examines claims data, investigates the facts of loss, determines coverage and liability, and adjusts claims within the limit of authority. Claims involved frequently require analysis and may require research to resolve coverage and/or damage issues. There is a periodic review of ongoing activities and the results of work. There is more focused supervision on complex files (The CRII will handle complex files on a regular basis).
Essential Duties and Responsibilities:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Receive claim assignments and verifies/investigates coverage and document all appropriate information
Determine claim approval and or denial up to $7,500 per exposure or $10,000 per file
Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, and review loss reserves and adjust or open hidden exposures as necessary
Evaluate and adjust claims within the limit of authority
Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices; make decisions on the best option
Make appropriate contacts to discuss a settlement; extend an offer to the appropriate party; document all file activity and payment/settlement information in file notes clearly outlining the basis for settlement
Determine subrogation or fraud potential and refer to Unit when the potential exists or handles to conclusion
If handling PIP may participate in investigations of medical providers and attend EUOs
May work with attorneys in resolving lawsuits
Conduct negotiations and settlements within authority level, using independent judgment, or within discretionary levels granted above individual authority level
Track and document the quality of service provided by defense counsel and manage litigation and recovery costs
May assist in the training of Claims Representatives
Perform other projects and assignments as directed
Is proficient in using all systems and technology used within the company
May be required to make personal appearances on behalf of the company when requested
Identify customer needs and works to meet those needs using appropriate customer service skills
Required Skills and Competencies:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
Successfully completes Claim Representative trainee program, or equivalent external training program
Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
Obtain/Maintain appropriate licensing or educational requirements
Demonstrate the capability of consistently handling aggregate file exposures of at least $2,500
Demonstrate proficiency in file audits to an agreed standard of efficient claims quality
Has a solid command of the claims policies and procedures; exhibit basic interpretation of policies & procedures in resolving claims, but may still need some assistance from supervisor
Demonstrate the ability to interpret and apply written coverage accurately to establish claim and determine an action plan, and often requires assistance on more complex files
Demonstrate a solid understanding of the repair and replacement of property damages, to include mechanical components of a vehicle, homeowner damages and other potential exposures
For claims involving injuries, has solid understanding of how to review, evaluate, and negotiate injury claims
Demonstrate ability to handle litigation in accordance with company guidelines, and be able to recognize legal issues and will utilize ADR when appropriate
High degree of initiative, mature judgment, and discretion
Ability to resolve conflicts and empathize with customers is critical
Strong negotiation skills
Demonstrate professional oral and written communication skills
Organization and time management skills are critical for this position
Demonstrate an understanding of insurance law as it relates to claims
Begin to develop effective leadership skills in order to mentor other adjusters, function as a team leader, handle projects, etc.
Desired Skills:
Demonstrates a thorough understanding of the NGIC Insurance brand and ability to exhibit the behaviors
Demonstrates an understanding of the functions of other departments, such as Policy Ops and Marketing
Primary Purpose:
Examines claims data, investigates the facts of loss, determines coverage and liability, and adjusts claims within limit of authority. Claims involved frequently require analysis and may require research to resolve coverage and/or damage issues. There is a periodic review of ongoing activities and results of work. There is more focused supervision on complex files (The CRII will handle complex files on a regular basis).
Essential Duties and Responsibilities:
Following is a summary of the essential functions of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Receive claim assignments and verifies/investigates coverage and document all appropriate information
Determine claim approval and or denial up to $7,500 per exposure or $10,000 per file
Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, and review loss reserves and adjust or open hidden exposures as necessary
Evaluate and adjust claims within the limit of authority
Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices; make decisions on the best option
Make appropriate contacts to discuss a settlement; extend an offer to the appropriate party; document all file activity and payment/settlement information in file notes clearly outlining the basis for settlement
Determine subrogation or fraud potential and refer to Unit when the potential exists or handles to conclusion
If handling PIP may participate in investigations of medical providers and attend EUOs
May work with attorneys in resolving lawsuits
Conduct negotiations and settlements within authority level, using independent judgment, or within discretionary levels granted above individual authority level
Track and document the quality of service provided by defense counsel and manage litigation and recovery costs
May assist in training of Claims Representatives
Perform other projects and assignments as directed
Is proficient in using all systems and technology used within the company
May be required to make personal appearances on behalf of the company when requested
Identify customer needs and works to meet those needs using appropriate customer service skills
Required Skills and Competencies:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
Successfully completes Claim Representative trainee program, or equivalent external training program
Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
Obtain/Maintain appropriate licensing or educational requirements
Demonstrate the capability of consistently handling aggregate file exposures of at least $2,500
Demonstrate proficiency in file audits to agreed standard of efficient claims quality
Has a solid command of the claims policies and procedures; exhibit basic interpretation of policies & procedures in resolving claims, but may still need some assistance from supervisor
Demonstrate the ability to interpret and apply written coverage accurately to establish claim and determine an action plan, and often requires assistance on more complex files
Demonstrate a solid understanding of the repair and replacement of property damages, to include mechanical components of a vehicle, homeowner damages and other potential exposures
For claims involving injuries, has solid understanding of how to review, evaluate, and negotiate injury claims
Demonstrate ability to handle litigation in accordance with company guidelines, and be able to recognize legal issues and will utilize ADR when appropriate
High degree of initiative, mature judgment, and discretion
Ability to resolve conflicts and empathize with customers is critical
Strong negotiation skills
Demonstrate professional oral and written communication skills
Organization and time management skills are critical for this position
Demonstrate an understanding of insurance law as it relates to claims
Begin to develop effective leadership skills in order to mentor other adjusters, function as a team leader, handle projects, etc.
Desired Skills:
Demonstrates a thorough understanding of the NGIC Insurance brand and ability to exhibit the behaviors
Demonstrates an understanding of the functions of other departments, such as Policy Ops and Marketing.
This territory is for Vallejo to San Jose, anything in between. Work remotely with a company car!
Essential Duties and Responsibilities: Following is a summary of the essential functions ofindustry-relatedestimates this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. • Create a comprehensive estimate of damages for 1st and 3rd party material damage • Inspect the damaged property and complete appropriate estimates and documentation • Work toward claim resolution by maintaining regulatory compliance and fair claims practices within their authority • Summarize claims in excess of authority and submit to manager for approval • Maintain relations with both internal and external customers • Negotiate settlements, make settlement payments and document all activities in the file • Identify potential subrogation and fraud referral opportunities and refer to the appropriate representatives when the potential exists • Stay informed of changes in the collision repair industry as well as statutory and regulatory changes as they relate to material damage and communicate these changes to other claims personnel • Develops and maintains an understanding of the material damage procedures and concepts necessary to repair vehicle damages, with an advanced level of understanding of structural, mechanical, and suspension damages • Serve as a mentor for other field representatives • Assist with file reviews and file audits • Assist with any special projects • Possess the skill set and ability to perform CAT related duties, including the travel required for this duty
Minimum Skills and Competencies: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Bachelor Degree or in-lieu of degree equivalent education, training and work-related experience • Valid U.S. State-issued driver’s license required • Possess basic knowledge of material damage • Ability to obtain and maintain adjuster licenses as required • Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint) • Ability to operate electronic devices including computers, cameras and cell phones • Ability to create estimates by way of estimating software • Possess effective interpersonal skills • Possess effective negotiation skills • Ability to problem solve, resolve conflicts and empathize with customers • Possess effective skills in time management, organization, the ability to work under pressure, adhere to project deadlines, and remain flexible in a changing environment • Ability to travel up to 10% • Must possess effective verbal and written communication skills • Must possess knowledge of estimatics software (Mitchell/CCC/Audatex, etc.)
Desired Skills: • Successful completion of one or more of the industry related courses or workshops: I-CAR training, structural damage analysis, steering and suspension, RV and heavy equipment and/or ASE • 2+ years of experience as a material damage estimator either in the insurance industry or the collision repair industry
National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.
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