Senior Claims Representative – Estimator
Westfield Health
full-time
Posted on:
Location Type: Remote
Location: Ohio • United States
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Job Level
About the role
- Review photos, reports, and other documentation from the inspection, to assess damage and prepare accurate estimates.
- Utilize industry-standard estimating platform Xactimate, to produce detailed repair scopes.
- Determine appropriate repair vs. replacement decisions based on best practices, jurisdictional code requirements, and policy coverage.
- Validate the accuracy of insured and/or contractor submitted estimates and to negotiate discrepancies when necessary.
- Apply current industry repair standards, materials pricing, labor rates, and construction methodologies.
- Provide technical expertise to frontline claims staff.
- Communicate clearly with customers, contractors, and vendors to explain scope and estimate decisions as/is necessary.
- Document all file activity in accordance with company and regulatory requirements.
- Support supplemental estimate reviews.
- Ensure all estimates comply with company guidelines, state regulations, and industry’s best practices.
- Maintain high levels of accuracy, productivity, and cycle time performance.
- Provides support in negotiation of settlements with insureds, attorneys, and other insurance companies.
- Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets.
- Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards.
- Establishes proper reserves for each claim based upon thorough investigation, evaluation, and experience.
- Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations.
- Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker.
- Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing.
- Contribute to continuous improvement efforts, guideline updates, and internal training initiatives.
Requirements
- 4+ years of Claims Estimating experience.
- Bachelor’s degree in Insurance, Business, Communications, Construction Management, or a related field and/or commensurate work experience.
- Proficiency with Xactimate
Benefits
- Associate in Claims (AIC) (preferred)
- Xactimate Level 1–3 Certification
- HAAG Residential & Commercial Inspector and/or Reviewer Certification
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims estimatingrepair scopesnegotiationconstruction methodologiesaccuracy validationsupplemental estimate reviewsfile documentationreserve establishmentclaims file handlingcontinuous improvement
Soft Skills
communicationtechnical expertisecustomer interactionvendor managementorganizational skillsproblem-solvingattention to detailnegotiation skillscollaborationtime management