About The Position

This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with regulatory and statutory requirements. The role handles claims of moderate to high complexity, including interpreting First Notice of Loss information, investigating claims, evaluating coverage, developing negotiation strategies, and resolving claims. It requires discretion and independent judgment to ensure compliance with state and federal laws and to apply technical and customer service best practices in accordance with company guidelines. The adjuster evaluates and negotiates first-party claims within settlement authority across multiple markets, assesses personal property, property damage, and loss of use, and uses claims technology and tools. The role responds to customer needs, coordinates with internal and external departments, and may attend legal proceedings. Occasional travel to off-site business meetings or conferences is required.

Requirements

  • Four to six years of prior claims handling experience.
  • Working knowledge of claims administration best practices and procedures.
  • Moderate knowledge of fault assessment, negligence, and subrogation principles.
  • Working knowledge of Microsoft Office, general computer software, and claims software.
  • 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 or claims adjuster license may be required for claims administration in specific states.

Nice To Haves

  • Four to six years of property claims administration experience.
  • Bachelor's degree or equivalent combination of education and experience.

Responsibilities

  • Identify and obtain statements from insureds, vendors, and witnesses.
  • Conduct phone investigations to determine coverage and damages and distinguish allegations from facts.
  • Determine policy obligations by assessing liability and damage components of losses.
  • Maintain proper claim activities and service levels.
  • Explain policy coverages, benefits, and the claims process verbally or in writing in compliance with regulatory and statutory requirements.
  • Recognize and appropriately address moderate-complexity coverage issues.
  • Evaluate, assess, make decisions, and negotiate with insureds within settlement authority to resolve first-party claims in multiple markets.
  • Assess personal property, property damage, and loss of use, and use claims technology and tools proficiently.
  • Identify and address issues that may be questioned in an audit.
  • Coordinate with internal and external departments as required.
  • Use discretion and independent judgment in analysis and problem-solving to manage losses effectively.
  • Respond quickly and effectively to customer needs and problems.
  • Attend and participate in legal proceedings as needed.
  • Travel occasionally to off-site business meetings or conferences.

Benefits

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