Sr Claims Representative
About The Position
Purpose of the Job: The Representatives are responsible for the investigation, evaluation, negotiation and settlement of claims. This includes analyzing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Representatives are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly. The Representatives work closely with other departments, vendors and defense counsel as needed throughout the claim process. Essential Functions: Focuses primarily on building customer relationships and expediting claims based upon fair claims settlement practices. Handles low to moderate severity personal, commercial, farm & ranch property claims. Processes claims according to applicable state mandates. Demonstrates responsibility for investigating coverage issues. Confirms coverage and the facts of loss through the investigation. Determines the appropriate method of inspection or review of facts. Ensures compliance with state/federal regulations/requirements, provisions of the policy contracts, and company philosophy. Focuses primarily on the proper investigation, evaluation, negotiation and settlement of all claims low to moderate complexity.
Requirements
- High school diploma
- State insurance adjusting license(s) and/or ability to obtain one
- One to two years of claims experience
- Maintain Continuing Education (CE) requirements for state licensing when appropriate
Nice To Haves
- Bachelor’s degree in a related field or the equivalent years’ work experience
- Property Claims Handling Experience
- Insurance designations such as Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC) or Senior Claim Law Associate (SCLA)
Responsibilities
- investigation, evaluation, negotiation and settlement of claims
- analyzing coverage
- contacting the customers
- investigating the facts surrounding the loss
- arranging inspection, experts, and third parties
- collecting information and evaluating complexity of loss of claims when needed
- negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement
- understand and comply with Insurance Regulations, Statutes, and case law accordingly
- building customer relationships and expediting claims based upon fair claims settlement practices
- Handles low to moderate severity personal, commercial, farm & ranch property claims
- Processes claims according to applicable state mandates
- Demonstrates responsibility for investigating coverage issues
- Confirms coverage and the facts of loss through the investigation
- Determines the appropriate method of inspection or review of facts
- Ensures compliance with state/federal regulations/requirements, provisions of the policy contracts, and company philosophy
- Focuses primarily on the proper investigation, evaluation, negotiation and settlement of all claims low to moderate complexity
Benefits
- We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program—including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
