人身伤害理赔专员

About Reserv
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Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.

We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role

• We are seeking highly organized and customer-focused Resolution Specialists to join our team. The successful candidate will be responsible for communicating with customers on the phone, educating and helping the customer work through their claim to the best possible outcome. This role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The claims you will handle will be transportation-related.

The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, they will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.

Resolution Specialists are:

• Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org.

• Passionate specialists who care about the customer and their experience.

• Empathetic. Exercises empathy and patience towards everyone interacted with.

• Sense of urgency - AT ALL TIMES. That does not mean working at all hours.

• Creative. Finding the right exit ramp (pun intended) for the resolution of the claim that is in the client’s best interest.

• Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Working toward a win/win claim resolution.

• Curious. Wanting to know the whole story so the right decisions are made early and take action to prompt a quick resolution.

• Anti-status quo. Not just wishing things were done differently but taking the appropriate actions to ensure it.

• Communicative. Professional written and oral communication with all parties to a claim.

• And did we mention a sense of humor? Claims are hard enough as it is.

What you'll do

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests

• Manage an inventory of litigated and non-litigated cases

• Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers

• Ensure compliance with specific state regulations, policy provisions, and standard operating procedures

• Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders

• Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry

• Review legal documents and ensuring compliance with initial suit-handling plan of action

• Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed

• Analyze policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure

• Direct and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters

• Maintain adjuster licenses and continuing education requirements

Requirements

• Active insurance adjuster’s license by way of a designated home state, or home state

• Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)

• Minimum of 3 years of experience on point and concentrated in transportation claims adjusting, ideally with:

• Third-party PD

• Third-party bodily injury, including catastrophic losses

• UM/UIM bodily injury

• Litigation experience

• PIP a plus, but not required

• Willing to obtain all licenses within 60 days, including completing state-required testing.

• Knowledge of state regulations, policy provisions, and standard operating procedures.

• Willingness to travel for clients and claims need

Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental

• 401(k) retirement plan with employer matching

• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!

• Generous family leave policy

• Work from anywhere to facilitate your work-life balance

• Apple laptop, large second monitor, and other quality-of-life equipment that might be needed. Technology is something that should make your life easier, not harder!

Additionally, we will

• Provide a manageable pending to deliver the service in a way always wanted from a dedicated account.

• Listen to the Resolution Specialist's feedback to enhance and improve upon the long-standing challenges.

• Work toward reducing and eliminating all the administrative work from a Resolution Specialist.

• Foster a culture of empathy, transparency, and empowerment in a remote-first environment.

At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team and welcome applicants from all backgrounds.
Originally posted on Himalayas