At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM
Under minimal supervision the General Liability Claims Adjuster reviews, analyzes, investigates, makes liability determinations, sets appropriate claim reserves and negotiates claim settlements up to authorized levels and manages litigation.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 4:00pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 4828 S pearl Street Las Vegas, NV 89121.
We offer weeks of on-the-job training. The hours of training will be aligned with your schedule.
Primary Responsibilities:
- Evaluates, investigates and negotiates settlements on new and pending claims to determine liability, as applicable to all State and Federal statutes and client contract provisions.
- Documents claim files, assesses potential legal liability exposure, set appropriate claim reserves and negotiate appropriate claim settlements based on thorough investigation and all supporting claim documents.
- Assesses all proven damages, including medical specials, property damage reports, and other supporting documentation requested or submitted to substantiate claim.
- Investigates questionable claims.
- Determines need for additional supporting documentation or medical documentation.
- Determine appropriate liability assessment and calculations.
- Performs ongoing investigation until claim is legally settled, withdrawn by claimant or attorney, or claim is closed appropriately in accordance with internal policies and procedures.
- Responds to telephone and written inquiries from clients, insurance carriers, claimants, attorneys, repair shops, appraisers, physical damage experts, and physicians, within statutory requirements.
- Identifies and forwards claims as needed, to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts.
- Set diaries and track time frames as mandated by statute and regulation. Initiate and respond to all correspondence timely, including letters of representation from attorneys.
- This level is responsible for independently reviewing, negotiating and settling simple to complex general liability and auto claims.
- Refers more complex liability claims to higher levels for review and direction
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED OR equivalent work experience
- 1+ years of experience with auto and general liability claim investigations, tendering of claims, subrogation, liability reserve setting, negotiating and liability litigation management required.
- 1+ years of experience applying fundamental liability concepts, practices and procedures of State or Federal laws and requirements.
- Experience with Microsoft Word (creating & editing), Microsoft Excel (sorting & filtering) and Microsoft Outlook (emailing & calendaring)
- Proficiency with 10 key typing skills
- Willing to obtain Property and Liability Adjuster license within the first 90 days of employment
- Must be 18 years of age OR older
- Ability to work full-time, Monday - Friday between 7:00am – 4:00pm including the flexibility to work occasional overtime given the business need
Soft Skills:
- Excellent oral and written communication skills, analytical and problem solving skills required.
Physical and Work Environment:
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
- Office environment
Nevada Residents Only: The hourly range for this is $19.47 - $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
