Responsible for confirming coverage, investigating, negotiating, setting reserves and settling covered claims of moderate exposure within their personal settlement authority. Perform duties in accordance with the Claim Handling Guidelines and managerial direction.
Essential Duties and Responsibilities:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Provide the best possible claim service to both internal and external customers
Promote teamwork and proactively seek opportunities to assist fellow associates with common challenges, i.e. systems use, file quality, etc.
Perform thorough investigation, confirm and interpret coverage issues and draft the appropriate reservation of rights or disclaimer letters as needed for manager approval; refer files to SIU when qualifying issues arise
Complete an inspection of the property damage including completion of a Xactimate Report package
Solicit estimates and photographs on smaller losses utilizing MyClaimPics to desk adjust claims
Retain cause and origin experts, engineers, building consultants and any other necessary experts as warranted with manager approval; obtain police, fire, weather reports, etc., as needed
Responsible for proper and timely reserving in accordance with our reserving philosophy
Update the claim database system with proper and adequate coding and documentation
Utilize and maintain diary on all open claims
Review all bills, estimates and Proofs of Loss prior to making settlement and payment of claim
Make recommendations to manager on damages exceeding adjuster's authority
Review vendors' bills for accuracy and resolve any billing issues or inconsistencies with the vendor
Determine subrogation/salvage potential on all claims; refer claim to subrogation when warranted
Handle or oversee CAT claims as necessary
Required Skills and Competencies:
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.
Bachelor's Degree or in-lieu of degree equivalent education, training and work-related experience
Obtain/Maintain appropriate licensing or educational requirements
Possess solid knowledge of Homeowners policies, endorsements and state/local regulations
Ability to analyze and apply coverage on small to medium loss scenarios
Ability to operate with a proactive claim handling mind set to drive results
Ability to resolve conflicts, problem solve and empathize with customers, both internally and externally
Ability to successfully work in a fast paced environment
Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
Proficient in estimate writing software
Possess professional oral and written communication skills
2+ years of experience in Property claims
Proficient in writing and reviewing scope of damages and estimates