Job Description:
• Investigate and analyze basic claim information under supervision to support coverage and liability determinations
• Handle low-complexity First Party Property and/or Renters Claims according to established guidelines
• Support higher-level examiners with suits, mediations, arbitrations, and litigation-related tasks
• Assist with setting initial reserves subject to senior staff review and approval
• Engage experts or vendors when directed and help monitor vendor performance and control expenses
• Learn to evaluate, negotiate, and recommend settlement values for simple claims under supervision
• Communicate with policyholders, agents, and other parties throughout the claim lifecycle
• Identify and escalate requests for additional information, coverage questions, and settlement discussions
• Process claims according to company Best Practices and established procedures
• Monitor and complete assigned low-complexity claims inventory with guidance
• Deliver customer service to insureds and agents through phone, email, and written correspondence
• Update and maintain accurate claim files and documentation
• Identify potential subrogation opportunities or fraud indicators and escalate them
• Participate in claims training, audits, and quality reviews
• Support oversight of TPAs and other vendors on basic matters
Requirements:
• High school diploma or equivalent required
• No prior claims handling experience required
• Related experience in customer service, insurance, claims, or administrative roles is a plus
• Must obtain a Property & Casualty Insurance Adjuster License within the first 90 days of hire and maintain a license going forward
• Acquire and maintain a state adjuster’s license and meet state continuing education requirements
• Clear and professional communication skills over the phone and in written correspondence
• Organizational and time management skills
• Solid writing skills
• Basic analytical and investigative abilities
• Developing negotiation skills
• Proficient with Microsoft Office, including Teams, Word, and Excel
• Willingness to learn and adapt to new computer systems, technologies, and claims software
Benefits:
• Company support provided where applicable for obtaining the Property & Casualty Insurance Adjuster License
• Remote work arrangement