General Liability Claims Adjuster - Las Vegas, NV
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Under minimal supervision the General Liability Claims Adjuster reviews, analyzes, investigates, makes liability determinations, sets appropriate claim reserves and negotiates claim settlements up to authorized levels and manages litigation.
This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 4:30pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 4828 S pearl Street Las Vegas, NV 89121.
Primary Responsibilities:
- Evaluates, investigates and negotiates settlements on new and pending claims to determine liability, as applicable to all State and Federal statutes and client contract provisions.
- Documents claim files, assesses potential legal liability exposure, set appropriate claim reserves and negotiate appropriate claim settlements based on thorough investigation and all supporting claim documents. Assesses all proven damages, including medical specials, property damage reports, and other supporting documentation requested or submitted to substantiate claim.
- Investigates questionable claims. Determines need for additional supporting documentation or medical documentation.
- Determine appropriate liability assessment and calculations. Performs ongoing investigation until claim is legally settled, withdrawn by claimant or attorney, or claim is closed appropriately in accordance with internal policies and procedures.
- Responds to telephone and written inquiries from clients, insurance carriers, claimants, attorneys, repair shops, appraisers, physical damage experts, and physicians, within statutory requirements.
- Identifies and forwards claims as needed, to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts.
- Set diaries and track time frames as mandated by statute and regulation. Initiate and respond to all correspondence timely, including letters of representation from attorneys.
- This level is responsible for independently reviewing, negotiating and settling simple to complex general liability and auto claims. Refers more complex liability claims to higher levels for review and direction.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED (or higher)
- 1+ years of experience with auto and general liability claim investigations, tendering of claims, subrogation, liability reserve setting, negotiating and liability litigation management required.
- 1+ years of experience applying fundamental liability concepts, practices and procedures of State or Federal laws and requirements.
- Experience with Microsoft Word (creating & editing), Microsoft Excel (sorting & filtering) and Microsoft Outlook (emailing & calendaring)
- Proficiency with 10 key typing skills
- Ability to work onsite in 4828 S pearl Street Las Vegas, NV 89121
- Willing to obtain Property and Liability Adjuster license within the first 90 days of employment
- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
Soft Skills:
- Excellent oral and written communication skills, analytical and problem solving skills required.
Physical Requirements and Work Environment:
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
- Office environment
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
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Nevada Residents Only: The salary range for Nevada residents is $18.80 - $33.41. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: #RPO, #RED
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