Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
Pay and process claims within designated authority level.
Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
Resolve complex, severe exposure claims, using high service oriented file handling.
Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Present cases and participate in their discussion at claim committee meetings.
Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
Confer with legal counsel on claims requiring litigation.
Report overpayments, underpayments, and other irregularities.
Conduct detailed bill reviews to implement sound litigation management and expense control.
Prepare reports to be submitted to company's data processing department.
Represent institutions at community and campus events, in meetings with other institution personnel, and during accreditation processes.
Participate in faculty and college committee activities.
Provide assistance to faculty and staff in duties such as teaching classes, conducting orientation programs, issuing transcripts, and scheduling events.
Participate in student recruitment, selection, and admission, making admissions recommendations when required to do so.
Plan and promote sporting events and social, cultural, and recreational activities.
Education
Bachelor of Arts: Pre-Law, Expected in June 1997 - - , GPA: Pre-Law
Additional Information
CSU Fullerton Fullerton, CA, US
CSU (FULLERTON), FULLERTON, CALIFORNIA UNITED STATES
Accomplishments
Licensed in CA, NY and OK
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