Field Senior Claims Representative – Nashville
About The Position
The Field Senior Claims Representative–Property Field serves as a technical expert in claims adjusting. The role determines coverage and investigates, analyzes, negotiates, and settles claims that do not require outside investigation. It delivers quality customer service in a high-volume, moderately complex work environment and mentors less experienced adjusters. Westfield Property Claims resolves first-party personal, commercial, and agriculture property claims, including structural damage, business and personal property, and business income losses. The position adjusts first-party homeowners and commercial property claims and uses Xactimate to evaluate first-party property claims. For field work, the representative travels as needed to cover an assigned territory, regularly uses an assigned fleet vehicle, and may travel on short notice or for extended periods to fulfill storm-duty responsibilities.
Requirements
- At least 4 years of claims-handling experience.
- Bachelor’s degree in Business, Communication, or a related field, and/or commensurate work experience.
- For field roles, a valid driver’s license and a driving record that conforms to company standards.
Nice To Haves
- Certified Professional Claims Management (CPCM) certification is preferred.
Responsibilities
- Determine whether appropriate coverage exists for assigned claims.
- Thoroughly investigate claims, gather relevant facts about coverage, legal climate, potential exposure, and damages, and make claim-resolution decisions.
- Meet established goals and objectives; arrange salvage disposition and other recovery proceedings as needed; and participate in claim file reviews and audits with customers and brokers.
- Support settlement negotiations with insureds, claimants, vendors, attorneys, and other insurance companies.
- Manage approved vendors and counsel used in the claim process, including approving investigation plans and budgets; monitor, review, and issue payments in accordance with guidelines and standards.
- Support review of appropriate reserves for each claim based on investigation, evaluation, and experience.
- Identify and refer claims to management for further handling and assignment instructions.
- Refer claims exceeding authority to an appropriate manager or complex claims specialist with recommendations.
- Formulate recommendations for claims file handling, subsequent transactions, and renewal processing.
- Request additional information from agents and identify when field referral is needed based on underwriting guidelines.
- Maintain ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel.
- Complete reports documenting claim status and obtain documentation needed to support claim evaluations.
- Interpret complex documents, including contracts, legal documents, insurance regulations, and policies, as needed.
- Maintain knowledge of related coverage, law, legislative environments, and trends; participate in professional industry groups; and incorporate industry changes, advancements, and best practices.
- Adjust first-party homeowners and commercial property claims.
- Use Xactimate to evaluate first-party property claims.
- For field roles, travel as needed to cover the assigned territory, use an assigned fleet vehicle, and travel for storm-duty responsibilities when required.
- Mentor less experienced adjusters on the team.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
