ideal3 is looking for a Claims Adjuster to join our Team! ideal3 is a highly collaborative, 100% remote-working company, that emphasizes the importance of work-life balance and offers competitive benefits. ideal3 delivers a claims handling experience that makes a difference, starting with our talented and ethical claims professionals who provide exceptional services for exceptional results, to our outstanding customer service.

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Essential Duties and Responsibilities:

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• Reviewing submitted claims for coverage and making a determination as to whether a matter is covered under the applicable policy.

• Investigating coverage issues.

• Conducting timely claim investigations, including gathering documents, video and other evidence, conducting telephone interviews of Insureds, claimants and witnesses.

• Establishing and revising claims reserves based on claims developments and counsel liability assessments.

• Adhering to fair claims-handling practices and regulations.

• Drafting claim acknowledgment letters and emails.

• Drafting coverage determination letters, including reservation of rights and denial letters.

• Drafting large loss reports for claims exceeding claims-handling authority and communicating with the policy Underwriters regarding such claims.

• Appointing defense counsel, coverage counsel and/or vendors, as appropriate.

• Enforcing Terms of Engagement Letters and/or Statements of Work with defense counsel, coverage counsel, and/or vendors.

• Obtaining updates from defense counsel, coverage counsel, vendors and/or the Insured, as appropriate.

• Updating claims diary as needed based on activity.

• Timekeeping for billing purposes.

• Authorizing settlements based on liability and other considerations after receiving approval from claims management or Underwriters.

• Conduct detailed bill reviews to ensure appropriate payment.

• Reviewing, approving, and paying invoices.

• Maintaining a claim file by accurately documenting all communications, activity, etc.

• Communicating with brokers and clients to obtain information necessary for processing claims.

• Adhering to company policy and procedures.

 

Competencies:

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• Strong typing skills.

• Ability to use computer software related to claims services.

• Excellent customer service and communication skills.

• Attention to detail.

• Strong and above average writing skills.

• Communicating effectively verbally and in writing.

• Time management skills.

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Education and Experience:

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• Adjuster License(s) required.

• 2 – 5 years claims-handling experience required.

• Bachelor’s degree preferred.

• High school diploma or GED required.

• Knowledge of Microsoft Office.

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Physical Demands:

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While performing the duties of this job, a Claims Adjuster will occasionally be required to stand; walk; sit, use hands to handle or feel objects, tools or controls; reach with hands and arms, balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. A Claims Adjuster must occasionally lift and/or move up to 5 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

When possible, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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*ideal3 is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.​ We encourage applications from candidates of all backgrounds and experiences.

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Benefits:

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401(k)

401(k) matching

Dental insurance

Health insurance

Health savings account

Paid time off

Parental leave

Vision insurance

 

Schedule:

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7.5 shift

Day shift

Monday to Friday

Supplemental pay types:

Bonus pay

  

How to Apply:

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If you are a qualified and enthusiastic candidate, please submit your resume and it must include a cover letter detailing your relevant experience to careers@ideal3.com.

 

Please include "Claims Adjuster Application - [Your Full Name]" in the subject line.