As an Accident Benefits Claims Representative III, you’ll investigate, evaluate, reserve, negotiate and resolve assigned automobile accident benefits claims by reviewing new losses, developing investigation plans, gathering statements, obtaining necessary documentation (medical records, authorizations, forms), and applying regulatory classifications accurately. You will communicate with policyholders, treatment providers, investigators, accountants, and medical professionals to assess injuries, financial losses, and determine claim eligibility. Application of systems like HCAI, dispute resolution techniques, structured settlements, and independent medical exams will ensure fair and timely claim outcomes.