Injury Claims Adjuster

Position Description

The Injury Claims Adjuster is responsible determining third party liability and evaluating medical records or demand packets for Injury Claims.

General Liability Analyst

• Investigates and communicates w/ operators, witnesses and third parties to resolve claims.
• Responsible for making initial contacts with guests and explaining the processes and next steps.
• Determines liability position, communicates investigation findings to guest/claimants, keep files notes and drafts denial letters as appropriates, reach resolutions, and negotiate settlements where appropriate with unrepresented.
• Draft settlement releases and issues payment where necessary.
• Keeping file tasks and meeting all file requirements & metrics for best claim handling practices.
• Updating Manager timely when new information is received throughout investigation with to ensure files are reassigned Manager or Third-Party claims administrator as investigation develops and investigation handled appropriately.
• Identifying when a claim should be tendered to a separate party.
• Identifying SIU needs such as ISO reports for questionable claims.
• Evaluating more complex injuries and corelating medical records, diagnostic imaging, and bills, identifying pre-existing conditions, confirming mechanism of injuries, understanding degenerative diagnosis vs. acute findings.
• Request authority from manager by writing up special and general damages with liability explanation to support the value range placed on claim.
• Notify manager of large loss potential exposures
• Draft Tender letters to appropriate party and their insurer.
• Draft acknowledgement letters to Attorneys, requesting required information such as theory of liability, injury, and treatment status.
• Draft denial letters with the appropriate language to Plaintiff attorney.
• Apply multiple state contributory negligence laws as appropriate.

Essential responsibilities will include:

• Conduct day-to-day claims administration to investigate and resolve claims to include review and analysis of medical records, witness statements and video evidence.
• Access and interpret data from multiple internal and external databases.

Desired Skills and Experience

• College degree strongly preferred.
• Minimum of 1 to 3 years of experience in the claims industry, specifically handling Injury Claims.
• Strong computer and analytical skills, with the ability to exercise self-direction and initiative, and make decisions in a fast paced changing work environment.
• Must possess excellent written and verbal communications skills.
• Proven ability for team participation including ability to implement efficient work processes, problem prevention identification and resolution skills.

Why Work for Flynn?

Flynn Group offers a variety of benefits and perks to encourage and empower our employees. We are committed to helping each employee work and live to his or her fullest potential. We offer a variety of benefits and perks while working for us:

• Medical / Dental / Vision
• Retirement and Savings Plan
• Short and Long Term Disability
• Basic Life Insurance
• Voluntary Life Insurance
• Tuition Reimbursement
• Paid Time Off
• Flexible Work Schedules
• Company Outings
• Dining Discounts
• PC/Laptop Assistances
• On-Site Fitness Center
• On-Site Daycare
• On site Cafe
• FUN Work Environment!

The Flynn Group is an Equal Opportunity Employer