Claims Specialist

• Directly handles business owner liability claims.
• Analyzes coverage issues under the Business owners coverage form, garagekeepers, hired non-owned auto, auto services and other standard industry forms.
• Analyzes, investigates, and evaluates new loss notices and claim tenders.
• Adjusts total auto losses as part of adjusting liability claims.
• Expeditiously analyzes and positions claim under applicable coverage.
• Collaborates on setting reserves at appropriate level for claims.
• Uses good judgment in managing ALAE in claims investigation.
• Appropriately documents claim files in accordance with established guidelines.
• Obtains and maintains adjuster licenses, as required.

Commercial General Liability Claims Representative – Property Damage

• Investigating and settling property and first party claims and third-party claims
• Initiate the investigation of new claims
• Make liability/coverage decisions
• Evaluate and negotiate settlements of collision, specified perils, and property damage, as appropriate
• Manage and oversee the work of outside adjusters, appraisers and experts
• Establish contact with the insured and claimant within established protocol
• Recognize coverage issues and bring them to the attention of the supervisor
• Develop basic understanding of liability and coverage principles
• Recognize state specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation including sending and securing proper documentation
• Complete research to determine market value on automobiles and heavy equipment to make recommendations on total loss settlement values using proper state valuation methods
• Summarize and make recommendations for disposition of claims in excess of the individual settlement authority
• Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints
• Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines
• Maintain state license by completing continuing education coursework and/or work towards a claims designation
• Handle small claim suits as needed
• Other duties as assigned by the claims supervisor

See all jobs on JobTailor

Commercial General Liability Claims Representative – Property Damage

Property Claims Examiner