SUMMARY:
Demonstrate proficiency in first party estimating, investigation, evaluation and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality.
PRIMARY DUTIES:
Handle 1st party Property claims of medium to high severity and complexity as assigned.
Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
Investigate and evaluate all relevant facts to determine coverage, damages and liability of first-party property damage claims.
Access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces
Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder; transition to and from ladder to area requiring inspection; walk on roof.
Establish timely and accurate claim and expense reserves.
Negotiate and convey claim settlements within authority limits.
Write denial letters, Reservation of Rights and other complex correspondence.
Control damages through proper usage of cost containment tools.
Meet all quality standards and expectations per Best Practices.
Maintain an effective diary system and document claim file activities in accordance with established procedures.
Manage file inventory to ensure timely resolution of cases.
Handle files in compliance with state regulations, where applicable.
Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers.
Identify and refer claims with MCU exposure to the supervisor.
Recognize when to refer claims to Special Investigations Unit and/or Subro Unit.
Act as a technical resource for Claim Representatives.
Perform administrative functions such as expense accounts, time off reporting, etc. as required
Perform any other duties as required.
Occasional Catastrophe Duty, including other offices and states may be required.
EDUCATION/COURSE OF STUDY:
College degree or equivalent in business discipline.
WORK EXPERIENCE:
5+ years PL or CL Property claim handling experience.
CERTIFICATES/DEGREES:
Completion of claim handling training program.
COMPUTER SKILLS:
Hardware and software skills and abilities including computers and other similar electronic devices.
OTHER:
Knowledge of construction, estimating and estimating system (Exactimate preferred)
Must display solid verbal and written communications skills.
Excellent organizational skills with the ability to work independently.
Solid analytical skills.
Excellent negotiation skills. |