訴訟索賠調整員,卡車保險
Litigation Claims Adjuster, Trucking BI
About Reserv
Reserv 是一家保险科技公司,致力于开发和孵化前沿的 AI 和自动化技术,为理赔带来效率和简便。由拥有 SaaS 和数字理赔丰富经验的保险科技老兵创立,Reserv 获得了 Bain Capital 和 Altai Ventures 的风险投资,并于 2022 年 5 月开始运营。我们专注于自动化高度人工的任务,以解决理赔中的长期问题,并为第三方理赔管理人(TPA)、保险科技提供商和理赔员树立新的标准。我们有雄心勃勃(但可实现的)目标,需要能够在不断变化的环境中工作的人员。如果构建领先的 TPA 并有机会解决理赔工作中的长期挑战听起来令人兴奋,我们迫不及待地想见到你。
About the role
- 我们正在寻找高度组织化且以客户为中心的商业运输理赔专员加入我们的团队。成功候选人将负责通过电话与客户沟通,教育并帮助客户处理他们的理赔,以达到最佳结果。该职位还将负责处理理赔库存,优先处理关键理赔,并为所有理赔相关方提供服务。您将处理的理赔涉及商业运输(跨州货运)。
理想的候选人愿意通过并设计一个支持最快理赔解决的最佳方案的流程。
理赔专员应具备:
- 高度积极进取,注重成长。对构建以技术驱动的理赔组织充满热情。
- 热情的专业人士,关心客户及其体验。
- 具有同理心。在与所有人互动时表现出同理心和耐心。
- 时刻保持紧迫感。这并不意味着全天候工作。
- 富有创造力。找到最适合客户利益的理赔解决路径(此处为双关语)。
- 喜欢冲突。冲突不一定是对抗性的,但必须是对话式的。朝着双赢的理赔解决方案努力。
- 好奇心强。想要了解整个故事,以便尽早做出正确决策,并采取行动推动快速解决。
- 反对现状。不只是希望事情有所不同,而是采取适当行动确保改变发生。
- 沟通能力强。能够与理赔各方进行专业书面和口头沟通。
- 我们还提到了幽默感吗?理赔本身已经够难了。
查看英文原文
About Reserv
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 people 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 Commercial Transportation 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 commercial transportation (interstate trucking) related.
The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome.
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, texts, and/or emails in a timely and accurate manner.
- Gather necessary information from customers to initiate the claim and explain policy, coverage, and educate them on the claims process and next steps.
- Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim.
- Work with the APD team on the handling of property damage claims.
- Recognize recovery opportunities with regard to subrogation and salvage, as well as total loss.
- Ensure compliance with specific state regulations, policy provisions, and standard operating procedures.
- Negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority.
- Provide input to continuously develop claims guidelines, best practices, and process improvements.
- Know the claims inside and out and ensure outside investigative service providers, including independent appraisers and defense counsel, are guided based on what we need to move the file to a quick and appropriate resolution. All the while keeping our clients updated where needed.
- Engage in learning opportunities to build knowledge of claims statutes, recent/updated court decisions impacting the claims function, current internal guidelines, and policy changes and modifications.
Qualifications
- Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
- Active insurance adjuster’s license by way of a designated home state, or home state
- Minimum of 5 years of experience concentrated in commercial transportation (interstate trucking) claims adjusting, ideally with:
- Third-party bodily injury, including catastrophic losses
- UM/UIM bodily injury
- Litigation experience
- MCS90 and its state equivalents
- 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 after 8 months of continuous work
- Work from anywhere to facilitate your work life balance
- Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
- Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
- Work toward reducing and eliminating all the administrative work from an adjuster role
- Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
Originally posted on Himalayas