Senior Complex & Represented Claims Representative
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Job Description
Senior Claims Representative managing complex homeowner claims at a tech-focused insurance company. Providing a fast and friendly claims experience while negotiating with stakeholders for resolution.
Responsibilities:
- Investigate, analyze, and determine the extent of liability concerning first party homeowner property losses and damages.
- Effectively communicate and negotiate with policyholders, agents, public adjusters, attorneys, and service providers via phone, email, and internal systems to accurately document claim details.
- Successfully manage a pending claim load at varying stages of the claims process.
- Interpret and apply the details of an insurance policy to ensure the accuracy of payments and claims declinations.
- Interpret and apply computer generated loss estimates, engineer’s reports, and construction terminology.
- Update and maintain comprehensive claim handling notations in our electronic claims management system and other related applications.
- Mentor our mid and associate level claims representatives.
Requirements:
- 7+ years of experience as a desk adjuster in the homeowner/property industry
- Adjusting all perils (fire, hail, wind, water, theft, lightning, vandalism, etc.)
- Understanding valued policy states and knowledge of which perils apply and when tendering limits are appropriate
- Previous experience working with contractors, and vendors for claims resolution
- Proficient in handling complex claims with loss values $100K and above
- Previous experience evaluating Proof of Losses
- Previous experience handling CRN, DTPA, NOI, mediations, and appraisals
- Ability to conduct recorded statements with insureds.
- Bachelor’s degree or equivalent experience is preferred.
- High School Diploma or its equivalent (GED) is required.
- Must be proficient with MS Office and other internal insurance related programs, systems or applications (Outlook, Word, and Excel)
- Ability to communicate effectively using programs such as Slack & MS Teams
- Previous experience using systems such as Symbility is a plus.
- HAAG Certification is a plus.
Benefits:
- Medical, Dental, and Vision
- Short- and Long-Term Disability (Company Paid)
- Voluntary Long-Term Disability
- Employee Life & AD&D (Company Paid)
- Voluntary Employee, Spouse, and Child Life & AD&D
- Healthcare, Dependent Care and Transit FSA, and Healthcare Savings Account (HSA)
- 401K with a generous matching contribution and no vesting schedule
- 20 days of PTO annually (prorated based on hire date)
- Company Paid Holidays and 2 “Choose Your Own Holidays”
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