Claims Specialist

• Investigate and manage auto physical damage claims from first notice of loss through final resolution.
• Review coverage, determine liability as applicable, and evaluate vehicle damages.
• Coordinate inspections with repair facilities, appraisers, rental vendors, and customers.
• Communicate clearly and professionally with insureds, claimants, attorneys, and internal partners.
• Review estimates, photographs, repair documentation, and total loss evaluations.
• Negotiate settlements within authority limits and document claim activity accurately.
• Monitor claim progress to ensure timely handling and compliance with company standards and state regulations.
• Identify potential fraud indicators and escalate concerns when appropriate.
• Maintain productivity, quality, and customer service expectations in a fast-paced environment.
• Assist customers through what can often be a stressful experience with empathy and professionalism.

Claims Adjuster, Auto PD

• Investigates, evaluates, and resolves property damage and general liability claims
• Conducts or coordinates field inspections, property assessments, and damage estimates for property claims as required
• Prepares coverage position letters, and issues reservation of rights correspondence as appropriate
• Develops and executes resolution strategies with clear file notes reflecting focus, control, and momentum
• Maintains timely diary management and accurate documentation of all claim activity

Senior Claims Examiner, Property

• Explain coverage of loss and applicable policy provisions to policyholders.
• Provide consistent claim follow-up with adjusting firms and policyholders to set expectations on the claims process.
• Investigate, evaluate, and settle claims within designated authority level.
• Follow internal best practices while applying policy language, FEMA rules, and regulations.
• Have the ability to deliver results in a fast-paced environment required.
• Responsible for communicating with Public Adjusters and Attorneys regarding complex claims and coverage situations.
• Reviewing estimates up to $1m, reviewing complex commercial claims, and contents inventories.

Flood Claims Examiner – Independent Contractor

• Examining and appropriately interpreting insureds’ policies, forms in force, and other records to determine coverage and extent of the company’s exposure and policy limitations
• Applying knowledge of multiple state statutes, including the insurance code of ethics, rules, regulations, and guidelines
• Desk reviewing, drafting, adjusting, and approving estimates of damage and loss amounts for structural damages, mitigation, remediation, etc
• Using varying methods of investigation, including taking recorded statements, consulting with experts, identifying property damage, and reviewing documentation
• Keeping active communication and working with customers, their representatives, contractors, and experts throughout the Claims process from first notice of the claim through repair completion
• Working with public adjusters and attorneys that may represent the insured(s) and responding to all notices and letters in accordance with state guidelines

Senior Claims Adjuster, Large Loss

• Handle and investigate Defense Base Act claims within Federal jurisdiction
• Promote and demonstrate principles of ‘Treating Customers Fairly’ in claims handling
• Identify and review suspect/fraudulent claims
• Build effective relationships with internal stakeholders and external customers
• Support Team Managers and monitor market/industry practices in claims handling

Senior Claims Examiner

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