No Fault Claims Examiner

Our No-Fault / PIP / PD Claims Adjuster handles Personal Injury Protection (PIP), Med Pay, First and Third-Party Auto Physical Damage (PD) claims arising out of personal and commercial insurance policies. In this role, you’ll see through their life-cycle, including but not limited to, investigation of coverage, determination of medical causation, coordination of benefits, liability and damage assessment. The purpose of this position is to provide service to agents, policyholders, third-party claimants and others to ensure claims resolve accurately, timely and in accordance with guidelines, regulations and other legal requirements.

Responsibilities

• Take loss reports directly from agents, insureds and/or claimants or their representatives
• Initiate initial claims handling
• Handle claims in compliance with applicable state regulations and statutes.
• Investigate assigned claims, verify coverage, and verify damages
• Coordinate PIP and Med Pay coverage with other benefits
• Recommend and maintain appropriate claim file reserves
• Actively participate in the litigation process
• Evaluate, negotiate, and settle claims
• Maintain confidentiality associated with proprietary, medical and other personal identifying information (PPI)
• Other related duties as assigned by supervisor

Requirements

• Bachelor’s degree preferred

• Minimum of 2 years of experience adjusting third-party liability claims
• Experience handling litigated and/or multi-party claims involving risk transfer
• Ability to analyze coverage and prepare coverage position letters
• Possess or has ability to timely secure and maintain required multiline adjuster licenses. Commercial lines experience is preferred
• Excellent understanding and skill level of claim handling and customer service
• Understanding of policy contracts, insurance laws, regulation, and of the legal environment
• Excellent oral and written communication skills
• Excellent interpersonal, negotiation, and organizational skills

Benefits

Concord Group employees are eligible for a comprehensive total compensation package including but not limited to medical, vison, dental, life, and disability insurance. We offer a generous Paid Time Off Program that includes vacation, personal, sick time and holiday pay. Invest in your future with our competitive 401(k) plan with company match!

About Us

As a leading regional provider of property and casualty insurance, The Concord Group helps protect the families and small businesses that enable our communities to thrive. Our positive work environment, competitive benefits, and rapid growth make The Concord Group a great place to build your career.

The Concord Group is an Equal Opportunity Employer. The Concord Group participates in E-Verify.