Job Description
Position Overview
The Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange. The role includes liability investigation, coverage evaluation, and negotiation of moderate to high‑complexity claims, ensuring compliance with state and federal law and company best practices.
Key Responsibilities
- Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues.
- Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. ...
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