Resolution Specialist

Resolution Specialist Mobile, AL Job Details 1 day ago Benefits Profit sharing Paid holidays Health insurance 401(k) Paid time off Volunteer time off Qualifications Liability determination Completing CE credits Medicare Fraud investigation Caseload management Regulatory compliance in claims processing Process improvement Subrogation Mid-level CPCU 3 years Litigation Supervising experience Bachelor's degree Mentoring Mediation Insurance investigations Damages evaluation Productivity software Claims documentation management Communication skills Full Job Description What you'd be doing: Investigate Commercial Auto and General Liability claims Verify policy coverage Communicate clearly and promptly with insureds, claimants, and plaintiff attorneys Assess exposure and set reserves within your authority level Develop strategies and action plans to resolve claims efficiently Utilize experts to assess liability and damages Manage defense counsel on pre-suit and litigated matters Participate in mediations Maintain thorough documentation, diary notes, and status updates Conduct onsite visits, attend meetings, and participate in claim file reviews Engage in team initiatives and process improvement Identify and report suspected fraud Identify subrogation opportunities Ensure compliance with Medicare Section 111 and other regulations Stay updated with industry developments and maintain CE credits Work pro-actively with a sense of urgency Mentor team members and support the Team Lead/Manager as needed We're looking for someone who has: A valid adjuster license in applicable jurisdictions At least 3 years of experience handling liability claims Excellent written and verbal communication skills Strong proficiency with Microsoft Office and claims management software Ability to manage a caseload independently and meet deadlines Professional demeanor, keen attention to detail, and a team-oriented approach Preferred candidates may have : Bachelor's degree Experience supervising or mentoring peers A background working on litigated claims Experience participating in mediations and working directly with defense counsel Industry designations (AIC, CPCU)

About The Gray Insurance Company:

Named among the Top Workplaces by the Times-Picayune for six years in a row, The Gray Insurance Company's mission is to provide innovative risk management solutions and positively impact the people we serve. We strive to be the leader in our market by changing how people think about insurance. We offer exceptional products and services and provide value through a workforce inspired to serve each other, our customers and our communities. Our core values are proud professionalism, responsive service, proactive improvement, integrity and, above all, family. TGIC offers a comprehensive benefits package including robust health coverage, wellness coaching, 10 paid holidays, generous vacation time plus additional days of paid time off, paid volunteer time off, a 401k plan, profit sharing and more.