Claims Representative I - Auto

Island Insurance Companies

  • Honolulu, HI
  • 30+ days ago

    Highlights

    Operating with a high degree of autonomy and discretion, this role supports the company's claims operations by applying specialized knowledge and judgment to complex claim scenarios. Summary: The Auto Claims Adjuster I is responsible for the end-to-end management of personal auto claims with a focus on analytical evaluation, strategic negotiation, and resolution.

    Numbers & Facts

    LocationHonolulu, HI

    Description

    Summary:

    The Auto Claims Adjuster I is responsible for the end-to-end management of personal auto claims with a focus on analytical evaluation, strategic negotiation, and resolution. Operating with a high degree of autonomy and discretion, this role supports the company's claims operations by applying specialized knowledge and judgment to complex claim scenarios.

    Duties:

    • Claims Evaluation and Resolution (60%)

    • Independently investigates, evaluates, and resolves personal auto claims, including those involving disputed liability and multi-vehicle accidents.

    • Exercises discretion in determining claim strategy, settlement authority, and negotiation approach.

    • Analyzes coverage, liability, and damages to develop resolution plans aligned with company policies and legal standards.

    • Negotiates subrogation recoveries with other carriers and third parties.

    • Establishes and adjusts reserves and authorizes payments within designated authority.

    • Coordinates with internal and external stakeholders to ensure timely and accurate claim resolution.

    • Strategic Communication and Documentation (25%)

    • Communicates complex claim decisions and strategies to policyholders, agents, and other involved parties in a clear and professional manner.

    • Maintains detailed and accurate documentation of claim activities, including investigative findings, evaluations, recommendations, and resolutions.

    • Prepares reports and summaries for management review and contributes to process improvement initiatives.

    • Customer Experience and Relationship Management (15%)

    • Provides high-level customer service by managing expectations, resolving escalations, and ensuring a positive claims experience.

    • Serves as a resource for agents and policyholders, offering guidance on claims processes and coverage interpretation.

    • Promotes a service-oriented culture and supports departmental goals through collaboration and knowledge sharing.

    Qualifications:

    • Bachelor's degree or equivalent experience in insurance, business, or a related field required.
    • Prior experience in auto claims adjusting preferred.
    • An equivalent combination of education and job-related experience will be considered

    Similar Jobs