Job Description:
• Identify and obtain statements from insureds, vendors and witnesses.
• Conduct phone and/or field investigations to determine coverage and damages and differentiate between allegations and facts in each loss.
• Communicate and interact with a variety of individuals.
• Explain benefits, coverages, and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
• Recognize and appropriately address moderate complexity coverage issues.
• Evaluate and determine claim values upon receipt and assessment of property damage data.
• Negotiate within settlement authority with insureds to resolve first claims.
• Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
• Control expenses for areas of responsibility.
• Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability.
• Objectively discern and address issues that may be questioned in audit.
• Coordinate with internal and external departments as required.
• May attend and participate in legal proceedings.
• Respond quickly and effectively to customer needs and problems.
Requirements:
• Bachelors
• Equivalent combination of education and experience
• 4-6 years Prior claims handling experience.
• 4-6 years Property claims administration experience.
• 1-3 years Experience in the construction industry.
• Working knowledge of claims administration best practices and procedures.
• Moderate knowledge of insurance, fault assessment, negligence and subrogation principles required.
• Comprehensive understanding of vehicle and building repair procedures and third-party liability issues.
• Working knowledge of Microsoft Office suite, general computer software and claims software.
• Moderate leadership skills necessary.
• Advanced organization and planning recognition skills required.
• Advanced oral and written communication skills required.
• Advanced interpersonal skills required.
• Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required.
• An insurance/claims adjuster license may be required for claims administration in specific states.
Benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance, travel, entertainment, services and more!)