Claims Representative - Property
This job description does not list all the duties of the job. You may be asked by supervisors or managers to perform other instructions and duties. You will be evaluated in part based upon your performance of the tasks listed in this job description.
Management has the right to review this job description at any time. The job description is NOT a contract for employment, and either you or the employer may terminate employment at any time, for any reason.
To provide prompt, fair and effective claims service for Insureds and claimants through the use of phone and correspondence.
Essential Duties and Responsibilities:
Investigation of claims made by Insureds and claimants. Including but not limited to proper coverage determination, 24-hour contacts, taking of recorded statements. Evaluate and negotiate settlements including denial of claims either not covered or where no liability exists. Obtain proper forms and documents.
Establishing and maintaining proper reserving throughout the life of the claim file. Maintain appropriate diary schedules of all claims in the care and custody of the adjuster. Evaluate estimates and bills for accuracy and applicability to coverage relating to the type of claims submitted.
Complete all necessary reporting forms according to procedures on a daily basis. Entry of proper claim reserves, and claim payments. Maintain in chronological order; appropriate file notes on the system. Initiate subrogation and dispose of salvage according to established procedures.
Inform the proper Underwriting Department of risk hazards discovered through the investigation of the claim. Advise supervisor immediately of all claims of a severe nature or exceeding settlement authority.
Direct defense attorneys and independent adjusters on claims in litigation or that require outside assistance. Attend mediations and settlement conferences when warranted.
Assist in training of other personnel as directed and maintain a good working relationship with supervisors, associates, agents and the public.
This position will be assessed based on achievement of the following elements of performance:
Attainment of goals/standards for this position; Dependability (Appropriate use of time and resources, including but not limited to phone use, attendance, promptness, funds or asset use; Customer service/sensitivity (of internal and external customers); Teamwork.
Other additional elements of performance will impact this position and will be provided by the supervisor of this position.
Required Education and/or Experience:
Adjusters handling claims in the states of Texas, Oklahoma and New Mexico must have the appropriate adjuster’s licenses for that state including the following: Bachelor’s degree or Minimum of 2 years insurance adjusting experience.
Required Knowledge, Skills, and Abilities:
All claim adjusting position require positive results in the following areas of performance: Meeting established goals, dependability, customer service, teamwork, management control, judgment, decisiveness and technical ability.
The position requires reasoning ability to examine and evaluate coverage and liability issues, examine and comprehend data furnished in written or oral form. Apply practical mathematical skills commonly used in the adjusting of property and casualty claims.
The position requires specific audio, visual and hearing capabilities involved in the use of computers, recorder and dictation equipment, telephone and other devices commonly used in an office environment.
This position is designed for handling claims from an office environment. Must be able to work as a team member to solve problems and exchange information. There could be very limited travel associated with attending mediations or settlement conferences.
Employee is regularly required to use hands and fingers to handle or feel. Requires frequent keyboarding and lifting. Generally 20 lbs. or less of lifting is required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.