Claims Adjuster

Job Summary
The Claims Adjuster receives, analyzes, negotiates, documents, and resolves assigned claims with values up to authorized limit, and completes associated subrogation and recovery processes.

Primary Objectives

• Process and resolve claims, recoveries, and subrogations in a timely, efficient, and effective manner.
• Record claims information timely in appropriate data systems and collect, complete, and submit all required documentation.
• Ensure payments are processed with appropriate release and financial protocols.
• Coordinate and resolve claims with the business units involved.
• Communicate effectively with customers, business units, and management teams.

Duties and Responsibilities

• Settle claims on behalf of the organization with an independent authority level up to $5,000.
• Review claims and assess extent of losses and damages based on the merits of each claim.
• Acknowledge and process fully-supported claims within required timeframes.
• Fully investigate all claims to determine liability and valuation.
• Process all settlements in accordance with applicable tariffs, contracts, bills of lading, and local regulations and conventions.
• Properly apply limitation and denial mechanisms to prevent overpayment.
• Provide timely notice to underwriters and coordinate handling of matters per policy provisions.
• Seek recoveries from underwriters as appropriate.
• Record and maintain claim data in claims systems in an accurate, detailed, and timely fashion.
• Negotiate settlements on the best terms with customers up to the level of financial responsibility assigned. Seek formal approval prior to settling claims above the assigned authority.
• Identify, provide timely notice to, and seek recoveries from third parties as applicable.
• Identify and make recommendations on loss prevention opportunities.
• Monitor aging on outstanding invoices; follow up or escalate as needed to ensure timely closure.
• Keep detailed claim financial records, including establishment and adjustment of reserves.
• Process all invoices associated with claims handling (i.e. surveys, studies, etc.).
• Manage relationships with external claims vendors to ensure ongoing relationship is maintained.
• Ensure internal customers are properly apprised of claims relevant to their respective areas.
• Communicate and coordinate with management and sales teams regarding claim settlements as needed to support client relationship management.
• Develop and maintain good working relationships with underwriters and third parties.
• Ensure compliance with company policies, contractual obligations and regulatory requirements.
• Identify and make recommendations for process improvements.
• Identify and report systems and process issues to claims management team for action.
• Support achievement of key performance indicators and service delivery requirements.
• Other duties as assigned.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

• Associate's degree or equivalent combination of college-level coursework and experience required

Work Experience

• 3+ years' related, relevant claims experience (e.g. cargo transportation) required

Required Knowledge, Skills and Abilities

• Knowledge of and ability to apply handling characteristics of specialty cargo in claims adjudication process (e.g. Container, OHW, Auto, Logistics).
• Knowledge of applicable and industry-related policies, practices, procedures, regulations and laws.
• Ability to work independently, prioritize work, and drive open items to closure.
• Demonstrated business communication (verbal, written, interpersonal, and customer relations) skills; ability to effectively present complex topics in a concise manner.
• Skill in collecting and analyzing complex data, evaluating information, drawing appropriate conclusions and presenting.
• Proven ability to identify critical issues, prioritize effectively, and execute quickly.
• Proficiency in the use of claims RMIS or other claims database software.
• Demonstrated proficiency with use of Microsoft Word, Excel, and PowerPoint.

Competencies

• Delivers Results Rigorously drives self and others to achieve high levels of individual and organization performance.
• Engages & Inspires Others Leads with energy, self-confidence and understanding in ways that motivate colleagues to achieve more than they thought possible.
• Focuses on the Customer & Market Continuously evaluates what is important to the customer/client and develops products or solutions that exceed expectations.
• Makes Sound Business Decisions Makes timely and well-informed decisions that advance critical priorities, capitalize on new opportunities, and resolve problems.
• Practices our Values Supports and models The Pasha Way; conduct reflects Excellence, Honesty, Integrity, Innovation and Teamwork.

PHYSICAL DEMANDS, WORK ENVIRONMENT, AND TRAVEL
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Hear and speak with sufficient clarity to understand and engage in telephonic information exchange; hear and understand verbal instructions; give and receive information verbally in person or via communication device - Often
• Walk/travel within office environment, crouch/bend to access floor-level storage - Often
• Use hands/fingers to operate office equipment, type/complete data input, write - Often
• Reach with hands, arms; lift, move and manipulate objects weighing up to 20 pounds - Regularly
• Sight sufficient to read instructions, documents, and screen-based information - Often
• Use hands/fingers to manipulate and file documents, folders, small objects - Regularly

Working Environment
This role requires work that may involve the following environmental conditions:

• Corporate office environment

Travel
Occasional Must be able to travel independently to U.S. locations, including Hawaii.

Screening Requirements
Background Checks

Must be fully vaccinated against COVID-19, except as prohibited by law.
The information included in this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive or exhaustive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.