About The Position

The Claims Representative analyzes water damage liability claims on behalf of clients to determine benefits due. The role ensures claims are adjudicated within service expectations, industry best practices, and client-specific requirements. It involves investigating claims, assessing exposure, developing action plans, negotiating settlements within assigned authority, and communicating claim activity with claimants and clients. The representative also reports claims to excess carriers and responds to direction requests professionally and promptly. The position is remote and covers all states, with a home-state licensing requirement stated in the title.

Requirements

  • High school diploma or GED required.
  • Two years of claims management experience, or an equivalent combination of education and experience, required.
  • Home-state licensing required, as stated in the job title.
  • Ability to exercise judgment, troubleshoot, solve problems, analyze information, and use discretion.
  • Ability to handle work-related stress, multiple priorities, and deadlines.
  • Computer keyboarding ability; travel as required.
  • Hearing, vision, and talking abilities.

Nice To Haves

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification applicable to the line of business preferred.

Responsibilities

  • Analyze and process claims through action plans to timely, appropriate resolution.
  • Investigate claims and gather information to determine claim exposure.
  • Negotiate claim settlements within designated authority.
  • Communicate claim activity and processing with claimants and clients.
  • Report claims to the excess carrier and respond to requests for direction professionally and promptly.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • Medical, dental, and vision coverage.
  • 401(k) and matching.
  • Paid time off (PTO).
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending or health savings account.
  • Additional voluntary benefits.
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