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The Opportunity
Handle personal lines accident benefit claims in good faith and in accordance with legislative requirements and best practices, - Handle moderate to complex loss transfer claims, - Determine priority for commercial and personal lines accident benefit claims, - Document claims files by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal line claims of moderate to high exposure and complexity, including LAT disputes, - Exercise judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law, and establishing basic principles of negligence, - Perform policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within accident benefits coverage, - Develop case strategies and evaluations to ensure timely resolution of claims, escalating issues as appropriate, - Establish timely reserves and perform ongoing reviews throughout the claims cycle within authority limits by estimating and validating the value of claims, - Assess damages by calculating applicable damages or range of damages allowed by law, - Negotiate settlements by establishing appropriate negotiation strategies and utilizing available tools and resources within authority limits, - Maintain quality standards by following best practices
Job Qualifications - What you bring to the table
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