Claims Representative

Berkley•Nashville, TN

17h

About The Position

The Claims Representatives primary job function includes efficiently and effectively handling low complexity-level, Commercial Auto, Hired Non-Owned-Auto, and/or third-party General Liability losses. This may include physical damage and bodily injury claims. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.

Requirements

Bachelor’s degree required or prior related insurance experience.
Have, or ability to obtain adjuster license in required states.
Claims handling experience, of at least 1 year, in either commercial or personal insurance is required.
Candidate will possess excellent communication (verbal/written), organizational and interpersonal skills.
Excellent analytical and problem-solving skills
Self-starting, self-motivating and capable of making decisions independently.

Nice To Haves

Insurance related designation (AIC, SCLA and/or CPCU), preferred

Responsibilities

Promptly reviews and acts with urgency in establishing initial and subsequent contact with all parties and key stakeholders.
Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
Effective and timely communication with insureds, insured general counsel, and making exceptional customer service a top priority.
Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
Proactively communicates with internal and external stakeholders, including insured’s, regarding coverage decisions.
Maintain discipline in securing and updating key information within the claim handling platform throughout the life of the claim.
Establishes and maintains appropriate initial and subsequent loss and expense reserves throughout the life of the claim.
Act with urgency in collaborating with internal stakeholders regrading significant changes within claim reserving.
Directly investigate each claim through prompt and strategically appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers, and technical experts to determine the extent of liability, damages, and contribution potential. Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts.
Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
Managing vendors involved with claim files, i.e. Independent Adjusters, Defense Attorneys, and Coverage Counsel
Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
Share experience and deep knowledge of creative resolution techniques to improve the claim results of others.
Assist with coaching, training, and mentoring team members.
Maintains current knowledge of insurance line, court decisions which may impact the claim function, current guidelines in the claim function, and policy changes and modifications.
Attend professional and/or continuing educational seminars and classes.