Primary Purpose: Investigate insurance claims; obtain all necessary information to evaluate claims and expedite settlement. Essential Duties and Responsibilities include the following. Other duties may be assigned. 1. Investigate all lines insurance claims within assigned territory and limits of authority; responsible for the accurate and efficient completion of all phases of claims processing from inception to settlement. 2. Investigate personally and/or in conjunction with Specialist major losses, complex liability/fire damage claims, catastrophe, multiple bodily injury claims and litigation cases. 3. Obtain (via telephone, correspondence or personal visit) loss reports, insured/witness/claimant statements, medical/police reports, appraisals, repair estimates, etc., as required; take photos as indicated. 4. Confirm coverage for new claims and set reserves amounts; follow up on necessary information; and record diaries for scheduled review of files; issue payment & correspondence as needed. 5. Analyze all accumulated data, reports, photos, etc. and evaluate claims; determine coverage and extent of loss/liability; prepare corresponding claims summaries. 6. Settle claim within limits of authority; issue drafts/checks for claim payment and obtain required liability releases upon settlement; close claims files. 7. Confer with District Claims Manager regarding complex claims or when potential exposure exceeds settlement authority. 8. Periodically review all open claims files assigned to adjuster, obtain any necessary information and adjusting reserve amounts as needed. 9. Travel to county offices as needed. Travel to serve on storm teams to assist with any other catastrophe losses as required. 10. Maintain company car in serviceable condition; prepare/submit weekly expense account. Competencies To perform the job successfully, an individual should demonstrate the following competencies: 1. Analytical - Synthesize complex or diverse information; Collect and research data; Uses intuition and experience to complement data. 2. Customer Service - Manage difficult or emotional customer situations; Respond promptly to customer needs; Respond to requests for service and assistance; Meet commitments. 3. Interpersonal Skills - Maintain confidentiality; Keep emotions under control. 4. Oral Communication - Speak clearly and persuasively in positive or negative situations; Listen and obtain clarification; Respond well to questions; Demonstrate group presentation skills; Participate in meetings. 5. Written Communication - Write clearly and informatively; Edit work for spelling and grammar; Change writing style to meet needs; Present numerical data effectively; Read and interpret written information. 6. Business Acumen - Understand business implications of decisions; Display orientation to profitability. 7. Ethics - Treat people with respect; Keep commitments; Inspire the trust of others; Work ethically and with integrity; Uphold organizational values. 8. Organizational Support - Follow policies and procedures; Support organization’s goals and values. 9. Judgment - Display willingness to make decisions; Exhibit sound and accurate judgment; Support and explain reasoning for decisions; Include appropriate people in decision-making process; Make timely decisions. 10. Planning/Organization - Prioritize and plan work activities; Use time efficiently. 11. Professionalism - Approach others in a tactful manner; React well under pressure; Accept responsibility for own actions. 12. Quality - Demonstrate accuracy and thoroughness; Look for ways to improve and promote quality; Monitor own work to ensure quality. 13. Quantity - Meet productivity standards; Complete work in timely manner; Work quickly & accurately. 14. Safety and Security - Observe safety and security procedures. 15. Adaptability - Adapt to changes in the work environment; Deal with frequent changes, delays, or unexpected events. 16. Attendance/Punctuality - Is consistently at work and on time; Ensure work responsibilities are covered when absent; Arrive at meetings and appointments on time. 17. Dependability - Follow instructions, responds to management direction; Commit to long hours of work when necessary to reach goals.
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Job Type
Full-time
Career Level
Entry Level