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About the role
Key responsibilities & impact- Proactively manages assigned claims caseload comprised of low complexity claims that require commensurate knowledge and understanding of claims coverage
- Partners with vendors and internal business partners to facilitate low complexity claims resolution
- May also involve external regulatory coordination to ensure appropriate documentation and compliance
- Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources
- May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics
- Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate
- Determines coverage through analyzing information involving low complexity policy terms and contingences
- Determines and negotiates low complexity claims settlement
- Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes
- Maintains accurate, thorough, and current claim file documentation throughout the claims process
- Applies fundamental knowledge of estimating technology platforms; utilizes platforms to prepare claims estimates to manage low complexity property insurance claims
- Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours
- May be assigned CAT deployment travel with minimal notice during designated CATs
- Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures
Requirements
What you’ll need- Up to 1 year of customer service experience anticipating customer needs and resolving escalations OR military experience
- Ability to prioritize and multi-task, including navigating through multiple business applications
- Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts
- Successful completion of a job-related assessment may be required
Benefits
Comp & perks- comprehensive medical, dental and vision plans
- 401(k)
- pension
- life insurance
- parental benefits
- adoption assistance
- paid time off program with paid holidays plus 16 paid volunteer hours
- various wellness programs
- career path planning and continuing education
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementclaims resolutioninvestigative researchcoverage analysisnegotiationdocumentationestimating technologyproperty insurance claimssubrogation identificationrisk assessment
Soft Skills
customer serviceprioritizationmulti-taskingproblem-solvingcommunicationcollaborationattention to detailadaptabilitytime managementconflict resolution
Certifications
insurance adjuster license
