Under general supervision, evaluates and settles travel and accident claims of modest to complex exposure (including fatalities) by investigating losses, interpreting coverage, and reporting obtained information in a timely and efficient manner, while maintaining adequate production levels. Claim types handled, included but not limited to: Accidental Death and Dismemberment, Trip Cancellation/Interruption, Collision Damage Waiver, Out of Country Medical Expense, Lost/Delayed Luggage.
College degree or equivalent combination of education and experience.
At least 6 months customer service experience
Must complete Crawford specified adjuster training.
Strong verbal and written communication skills.
Good attention to detail.
Strong analytical and mathematical ability.
Ability to handle multiple tasks.
Strong interpersonal skills.
Highly organized and self-directed.
Flexible and able to change plans quickly.
Good problem solver.
Ability to handle a variety of situations with tact and diplomacy.
Customer service oriented.
Thrives in a fast-paced environment.
Knowledge of the travel insurance industry
Familiarity with Supplementary Health Insurance Plans
Depending on case load you may be required to work beyond normal business hours when necessary.
Must complete continuing education requirements as outlined by Crawford Educational Services.
Must be licensed as required by state and local jurisdictions.
Must pass New York and Hawaii independent adjuster licensing exams within the first 6 months of employment.
#LIEM3
Examines travel and accident claims forms, policies and endorsements, client instructions and other records to determine coverages.
Investigates claims by interviewing insureds, claimants and witnesses, obtaining official reports, and by comparing claim information with evidence.
Sets loss reserves with approval of client and management.
Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford.
Settles claims by determining client's coverages, liability, client's instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
Controls claim costs.
Recommends litigation when appropriate.
Maintains expected case load.
Maintains company reputation and integrity of insurance products by complying with federal and state regulations and service standards.
Creates day to day agenda with assistance of supervisor/manager.
Maintains professional and technical knowledge through continuing education.
Maintains acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.
Participates in special projects or performs duties in other areas as requested.