About The Position

This position handles moderate to complex homeowner property insurance claims written by the Interinsurance Exchange, in compliance with regulatory and statutory requirements. The role involves investigating claims, evaluating damages, developing negotiation strategies, and resolving claims. It requires discretion and independent judgment to ensure compliance with state and federal law and established company Best Practices. Claims field duties may involve using a company car and traveling locally to inspect accident scenes or first-party homeowner losses. The role responds to customer needs and may involve participation in legal proceedings.

Requirements

  • Bachelor’s degree or equivalent combination of education and experience.
  • 4–6 years of prior claims handling experience.
  • Working knowledge of claims administration best practices and procedures.
  • Moderate knowledge of insurance, fault assessment, negligence, and subrogation principles.
  • Comprehensive understanding of vehicle and building repair procedures and third-party liability issues.
  • Working knowledge of Microsoft Office, general computer software, and claims software.
  • Moderate leadership skills.
  • Advanced organization and planning recognition skills.
  • Advanced oral and written communication skills.
  • Advanced interpersonal skills.
  • Valid driver’s license, acceptable Department of Motor Vehicles record, and minimum liability insurance issued by a state.
  • An insurance/claims adjuster license may be required for claims administration in specific states.

Nice To Haves

  • 4–6 years of property claims administration experience.
  • 1–3 years of experience in the construction industry.

Responsibilities

  • Obtain statements from insureds, vendors, and witnesses.
  • Conduct phone and/or field investigations to determine coverage and damages and distinguish allegations from facts.
  • Explain benefits, coverages, and the claims process verbally or in writing in compliance with regulatory and statutory requirements.
  • Recognize and address moderately complex coverage issues.
  • Evaluate and determine claim values based on property damage data.
  • Negotiate with insureds within settlement authority to resolve first claims.
  • Update production reports and document and update claim files using company systems.
  • Control expenses within areas of responsibility.
  • Verify and interpret coverage by gathering information needed to determine policy applicability.
  • Objectively identify and address issues that may be questioned in an audit.
  • Coordinate with internal and external departments as required.
  • Attend and participate in legal proceedings as needed.
  • Respond quickly and effectively to customer needs and problems.
  • Travel locally and inspect accident scenes or first-party homeowner losses as part of field duties.

Benefits

  • Medical, dental, and vision coverage.
  • 401(k) savings plan with company match and pension.
  • Tuition assistance.
  • Floating holidays and PTO for community volunteer programs.
  • Paid parental leave.
  • Wellness programs.
  • Employee discounts on membership, insurance, travel, entertainment, services, and more.
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