A&H Affinity Benefits Adjuster (Finance)

Under general supervision, evaluates and settles casualty claims of modest to complex exposure (including fatalities) by investigating losses, interpreting coverage, negotiating settlements and reporting obtained information in a timely and efficient manner, while maintaining adequate production levels.

• College degree or equivalent combination of education and experience.
• Minimum 6 months previous experience as a Claims Adjuster
• 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.
• 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

• Examines 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.
• 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.
• Controlling claim costs.
• Recommends litigation when appropriate.
• Presents evidence at legal proceedings; producing reports and other documents as evidence.
• Maintains expected case load.
• Maintains company reputation and integrity of insurance products by complying with federal and state regulations and service standards.
• Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.
• Maintains professional and technical knowledge through continuing education.
• May assist junior adjusters.
• Participates in special projects or performs duties in other areas as requested.
• Upholds the Crawford Code of Conduct