Claims Director directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Director is responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Additionally, Claims Director provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically reports to top management. The Claims Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Summary: Melton Truck Lines is a Qualified Self-Insured under the FMCSA; and as such its Claims Adjusters perform office work on a daily basis essential to the operations of Melton Truck Lines and are required to be certified/licensed by the State in which they practice. They are responsible for the collection and management of all accident reports and accident files. Claims Adjusters initially manage investigation by deciding what outside resources are required in each incident, interacting with drivers, vendors, first responders, customers, third-party claimants and others to manage accident scenes and response, gather and preserve information concerning any damage or loss, comply with all FMCSA and State requirements, and provide management with necessary updates and information as it becomes available. They also manage the expenses related to the files, set reserve for BIPD, FTC, Cargo, and Receivables. They will secure proof of claims, negotiate settlements with claimants/customers and have full discretion to arrange rentals, and repairs for at fault damages. Career development may include additional systems and analytical skills and development, including regulatory and insurance reporting and high level analysis of all aspects of claims and loss, reporting and dashboard tools.
Essential Duties and Responsibilities: include the following. Other duties as assigned.
Has contact with the following documents: DOT files including compliance records and drug testing records; claim files to include police reports, legal correspondence and medical records; inspections/citations; insurance; and AS400 driver history records.
Qualification Requirements: as follows:
Education and/or Experience: Must have an active Claims Adjusters license and minimum 2 years of claims experience.
Special Training: Needs to be familiar with software programs such as Microsoft Excel, Outlook, Word and Innovative (AS400).
Special Skills: Needs to be able to deal with high-pressure situations in a fast paced and multi-tasking environment. Strong written and verbal communication and listening skills are required. Bilingual ability in Spanish is helpful but not required. Detail oriented with good organizational skills with the ability to prioritize and work independently. Negotiation and conflict resolution skills.
Physical Demands: It is necessary to talk, hear, sit, walk, type, and write. It is occasionally necessary to lift up to 25 lbs.
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