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Claims Resolution Jobs in Georgia (NOW HIRING)

Reserv, Inc.

Bodily Injury Claims Adjuster

Atlanta, GA · On-site +1

Resolution Specialists are: * Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org. * Passionate specialists who care about the customer and their ...

BENNETT MOTOR EXPRESS

Claims Adjuster I

Mcdonough, GA · On-site

McDonough, Georgia About the Role We are seeking an experienced Claims Adjuster to manage a caseload of auto liability claims from first notice of loss through resolution. The ideal candidate brings ...

Vega

Claims Manager

Atlanta, GA · On-site

$120 - $180/hr

Who we are The $250B insurance claims industry runs on fax machines, phone tag, and adjusters ... to the resolution outcome of a claim. * Ensure the highest level of customer experience and ...

Hiscox

Portfolio Claims Handler

Atlanta, GA · On-site

The contractor will manage mid- to high-severity primary claims from inception through resolution, including Allied Healthcare Professional Liability, Architects & Engineers Professional Liability ...

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All JobsClaims Resolution JobsClaims Resolution Jobs in Georgia

Claims Resolution information

What is the difference between Claims Resolution vs Claims Adjuster?

AspectClaims ResolutionClaims Adjuster
Required CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentOffice settings, customer service interactionsField work and office settings, inspecting damages
Industry UsageInsurance companies, claims processingInsurance companies, claims assessment
Job FocusResolving claims, customer communicationEvaluating damages, determining claim validity

Claims Resolution professionals primarily focus on processing and resolving insurance claims through customer communication, often working in office settings. Claims Adjusters evaluate damages and determine claim validity, frequently conducting field inspections. While both roles are integral to insurance claims, Claims Resolution emphasizes customer interaction and claim processing, whereas Claims Adjusters focus on damage assessment and validation.

What are the key skills and qualifications needed to thrive as a claims resolution specialist?

To thrive as a Claims Resolution Specialist, you need strong analytical abilities, attention to detail, and a background in insurance or finance, often supported by a relevant degree or equivalent experience. Familiarity with claims management systems, customer relationship management (CRM) software, and sometimes industry certifications like AIC (Associate in Claims) is advantageous. Excellent communication, negotiation, and problem-solving skills help you resolve disputes efficiently and maintain positive client relationships. These skills are crucial for ensuring accurate claims processing, minimizing errors, and delivering high-quality customer service.

How does a claims resolution specialist typically collaborate with other departments to resolve complex claims?

Claims Resolution Specialists regularly work with teams such as customer service, underwriting, and legal to gather necessary information and ensure claims are processed accurately. Collaboration often involves reviewing documentation, clarifying policy details, and communicating updates to all stakeholders. This multidisciplinary approach helps resolve issues efficiently and ensures compliance with company standards and regulations. Effective communication and teamwork are key to successfully managing and closing complex claims.

Is claims resolution processing a stressful job?

Claims resolution processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult situations with claimants. Managing stress levels may involve organizational skills and support from team resources.

What is claims resolution?

Claims resolution is the process of reviewing, investigating, and settling insurance claims filed by policyholders or third parties. Professionals in claims resolution evaluate the details of each claim, determine coverage eligibility, negotiate settlements, and ensure that all parties receive a fair outcome according to the policy terms. The goal is to resolve claims efficiently, accurately, and in compliance with legal and regulatory standards, while minimizing disputes and maintaining customer satisfaction.
What are popular job titles related to Claims Resolution jobs in Georgia? For Claims Resolution jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Claims Resolution jobs in Georgia look for? The top searched job categories for Claims Resolution jobs in Georgia are:
Claims Resolution jobs near you

Bodily Injury Claims Adjuster

Reserv, Inc.

Atlanta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 19 days ago

Job description

About Reserv
  • Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
    We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.

About the role
  • We are seeking highly organized and customer-focused Resolution Specialists to join our team. The successful candidate will be responsible for communicating with customers on the phone, educating and helping the customer work through their claim to the best possible outcome. This role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The claims you will handle will be transportation-related.
    The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, they will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
    Resolution Specialists are:
  • Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org.
  • Passionate specialists who care about the customer and their experience.
  • Empathetic. Exercises empathy and patience towards everyone interacted with.
  • Sense of urgency - AT ALL TIMES. That does not mean working at all hours.
  • Creative. Finding the right exit ramp (pun intended) for the resolution of the claim that is in the client's best interest.
  • Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Working toward a win/win claim resolution.
  • Curious. Wanting to know the whole story so the right decisions are made early and take action to prompt a quick resolution.
  • Anti-status quo. Not just wishing things were done differently but taking the appropriate actions to ensure it.
  • Communicative. Professional written and oral communication with all parties to a claim.
  • And did we mention a sense of humor? Claims are hard enough as it is.

What you'll do
  • Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
  • Manage an inventory of litigated and non-litigated cases
  • Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers
  • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
  • Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders
  • Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry
  • Review legal documents and ensuring compliance with initial suit-handling plan of action
  • Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed
  • Analyze policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure
  • Direct and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters
  • Maintain adjuster licenses and continuing education requirements

Requirements
  • Active insurance adjuster's license by way of a designated home state, or home state
  • Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
  • Minimum of 3 years of experience on point and concentrated in transportation claims adjusting, ideally with:
    • Third-party PD
    • Third-party bodily injury, including catastrophic losses
    • UM/UIM bodily injury
    • Litigation experience
    • PIP a plus, but not required
  • Willing to obtain all licenses within 60 days, including completing state-required testing.
  • Knowledge of state regulations, policy provisions, and standard operating procedures.
  • Willingness to travel for clients and claims need

Benefits
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy
  • Work from anywhere to facilitate your work-life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment that might be needed. Technology is something that should make your life easier, not harder!

Additionally, we will
  • Provide a manageable pending to deliver the service in a way always wanted from a dedicated account.
  • Listen to the Resolution Specialist's feedback to enhance and improve upon the long-standing challenges.
  • Work toward reducing and eliminating all the administrative work from a Resolution Specialist.
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment.

At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team and welcome applicants from all backgrounds.

Apply