• Successfully complete all assigned claims training programs in a classroom setting • Engage actively in learning sessions, demonstrating a clear understanding of the material covered • Investigate automobile claims thoroughly to gather relevant information • Evaluate claims to determine their validity and potential payout based on policy terms and conditions • Resolve automobile claims efficiently and in a timely manner, ensuring customer satisfaction • Ensure ongoing adjudication of claims within company standards, industry best practices and all state and federal regulations • Stay updated on changes in regulations and company policies • Document all investigations, evaluations, recommendations, and action plans accurately • Maintain detailed and organized records in the claims management system • Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation • Communicate effectively with claimants, policyholders, and other stakeholders through written and verbal means • Regular and predictable punctuality and attendance • Perform other duties as necessary to support the claims department and organizational goals.

• Determine that coverage in cleared. • Confirm or finalize liability decisions. • Interact with injured parties, their representatives, or attorneys. • Request and review the medical specials and reports needed to determine the nature and severity of their claims. • Evaluate the settlement value of the exposure and negotiate the settlement within those parameters. • Process all time limit demands timely. • Meet all conditions of settlement in BI/UMBI demands. • Ensure ongoing adjudication of claims within company standards and industry best practices and regulations. • Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation. • Regular and predictable punctuality and attendance is required. • Other duties as necessary.

• Investigate, evaluate, and resolve automobile claims in a timely and efficient manner • Document investigations, evaluations, recommendations, and plans of action • Ensure ongoing adjudication of claims within company standards, industry best practices and all state and federal regulations • Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation • Exhibit exceptional customer service • Maintain positive customer relationships, and exhibit a courteous and professional demeanor • Maintain a reliable system of keeping files current and be caught up on claim tasks and diaries • Be able to handle any and all types of automobile insurance claims regardless of the level of complexity, severity of injuries, or number of features • Evaluate and settle a wide level of injury claims including soft tissue injuries, serious injuries involving hospitalization, fatalities, etc • Effectively manage litigated files throughout the entire litigation process • Exhibit a high degree of decision making and require minimal supervision with regards to liability decisions and injury evaluations • Act as a mentor for adjusters with less experience and assist in the training and development of claims staff • Maintain a high level of productivity • Respond to timely to customers’ inquiries and to requests by management • Minimize customer complaint calls • Regular and predictable punctuality and attendance • Comply with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follow Aspire General Insurance Company/partner’s policies, procedure and work rules • Other duties as necessary.

• To analyze mid- and higher-level general liability claims to determine benefits due. • To ensure ongoing adjudication of claims within company standards and industry best practices. • To identify subrogation of claims and negotiate settlements. • Manages mid-level general liability claims by gathering information to determine liability exposure. • Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. • Communicates claim action with claimant and client. • Ensures claim files are properly documented and claims coding is correct. • May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.