Claims Analyst II/III (Residential Property)

Harbor Claims LLC • Gainesville, FL

1d

About The Position

Harbor Claims Analysts provide direct, prompt, courteous, and professional service to our policyholders, their agents, legal counsel, and/or other third-party representatives in the unfortunate event that the policyholders’ residential property is damaged or lost due to a covered event. To that end, our Claims Analysts apply their technical know-how to review, investigate, evaluate and settle claims in a timely and equitable manner while also successfully and responsively handling claims inquiries and/or issues from policyholders, agents, claimants’ third-party representatives, internal customers, carrier representatives, and others within set Company guidelines, service and time standards, and per defined regulatory requirements.

Requirements

• Accountability; Quality-Oriented; Detail-Oriented; Self-Starter; Team Player; Multi-Tasker; Adaptability; Flexibility; Integrity; Strong Work Ethic; Positive “Can Do” Attitude; Collaborator; Financially-Oriented; Service-Oriented; Coachable; Dependable.
• Strong skill sets in the following areas: Ability to effectively read people and situations; active listening; asking productive questions/ability to apply learned Information to related or similar situations; conceptual orientation; diffusing and appropriately managing escalated customer conversations/ communications/ situations; effective decision-making; effective utilization of advanced investigation techniques; effective utilization of alternative dispute resolution measures; information and financial review and analyses; interpersonal communication; negotiation; organization; problem analyses/solving; productivity; time management / working under tight deadlines /thrive in a fast-paced work environment; verbal communication; written communication.
• Strong knowledge of: Thorough understanding of personal lines products, including residential homeowners and personal umbrella products; understanding Of property-related (1st party) principles, practices, processes and terminology; business writing; grammar; and punctuation rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook, and Internet Explorer); technical research resources, including but not limited to PLRB ISO and claims search; telephone and email business etiquette rules; Xactimate.
• For internal candidates applying to a Claims Analyst II position: Four or more years of residential property (1st party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.
• For internal candidates applying to a Claims Analyst III position: Eight or more years of residential property (1st party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.

Responsibilities

• Provides exceptional service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations, appropriately and correctly responds via telephone and email interactions to a wide range of policyholders’, agents’ and third party representatives’ claims, policy and other related inquiries and issues; as assigned, handles FNOL communication and/or communicates with and is highly responsive to customers on assigned pending claims files on an ongoing basis.
• Within designated levels of authority and required time frames, successfully coordinates with field adjusters and provides professional and responsive assistance and follow-up inquiries on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and Company field adjusters to ensure prompt and appropriate claims’ actions, including thorough review of field reports provided by field adjusters.
• As required, requests, obtains, reviews, and evaluates outside experts’ (including engineers, construction contractors, other subject matter experts, and attorneys) opinions and/or information; confers with these experts to gain technical expertise and insight to produce prompt and fair determinations in the resolution of claims.
• Within designated authority levels, required time frames and adeptly utilizing assigned tools, appropriately investigates claims; analyzes claims information to determine appropriate settlement, as applicable; as necessary, interviews and records statements of claimants and witnesses to gather pertinent information; communicates with claimants regarding settlement and effectively negotiates, when necessary; settles claim and closes files; as per Company and Carrier quality and time standards and pertinent regulatory requirements, issues accurate loss and/or adjusting payments; when outside scope of authority, clearly communicates pertinent information regarding files and works with management and team to ensure prompt resolution of claims.
• Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.
• Reviews assigned files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to subrogation specialist and provides follow-up assistance and support, as necessary.
• Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested, researches policy, coverage, and eligibility provisions on a variety of situations and provides results to appropriate internal and/or external contacts.
• Depending on progressive series level, spearheads, participates in and/or assists with “special” Company projects, as directed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed