Virtus

Insurance

• Adjust Commercial Property contents and tenant caused damage claims files for the life of the claim.
• Determine covered insurance losses by studying provisions of a policy or certificate.
• Establish proof of loss by studying documentation and assembling additional information from outside sources.
• Document specific claims by completing and recording forms, reports, logs, and records.
• Analyze insurance claims and interview claimants to prevent fraud.
• Prepare reports by collecting, analyzing, and summarizing information in accordance with service level agreements and requirements with Lloyd's
• Resolve claims by approving or denying documentation, calculating benefits due, and determining compensation settlement as permitted by Coverholder Agreement.
• Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
• Maintain quality customer service by following customer services practices and responding to customer inquiries in a timely and consistent fashion.
• Communicate with all claim stakeholders, including claimants, brokers, internal underwriting and client success team, carriers/syndicates, etc.
• Assist with the completion of ad hoc projects as needed.
• Resolve claims fairly and timely abiding by all regulatory (DOI) mandates.
• Maintain all necessary claim licensing.
• Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
• Other duties as assigned by the team and leadership.

Claims Adjuster