Field Claims Representative - Texas

Acuity is seeking a Field Claims Representative to investigate, record facts, preserve evidence, determine coverage, and arrange for the disposition of claims through settlement or denial.

Requirements

• Organizes work and arranges for immediate contact with all pertinent parties surrounding claim assignment.
• Completes a thorough investigation to determine coverage, assess liability and evaluate damages.
• Conducts investigations and provides customer follow-up in person.
• Evaluates, revises or recommends reserve changes.
• Inspects and determines property damage.
• Understands basic anatomy, medical terminology and has ability to decipher medical records and bills.
• Identifies and pursues all subrogation opportunities.
• Employs customer service concepts and requirements.
• Identifies potentially fraudulent claims and promptly refers them to the SIU.
• Maintains a sense of urgency while implementing proactive claim handling plans and procedures.
• Properly and effectively utilizes sound judgment, discretion and settlement authority to resolve claims through negotiation, settlement or denial.
• Handles all claims as assigned, including claims in other districts as requested.
• Maintains positive attitude.
• Always represents the Company in a professional manner.
• Maintains company property in good working order, requests new equipment and secures authorization for repairs.
• Maintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds.
• Supervises and directs defense attorneys in preparing a case for trial, including attending mediations and depositions.
• Must have a valid driver’s license and an acceptable motor vehicle record to operate a corporate vehicle.
• Regular and predictable attendance.
• Performs other duties as assigned.