Nature of Job

Adjust and settle claims for all lines of business written by the company with settlement authority up to $40,000.

Duties and Responsibilities

• Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
• Verify policy coverage on assigned losses.
• Investigate and evaluate claims for proper settlement.
• Negotiate with claimants, insureds and attorneys when necessary.
• Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary.
• Pursue subrogation, salvage and third-party liability contribution.
• Communicate with Claims Supervisor or Manager regarding complex claims when assistance is necessary.
• Manage claims that go to litigation, involving management when necessary.
• Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $40,000.
• Establish and maintain proper and adequate reserves on assigned claims.
• Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager.
• Assist Claims Supervisor and Manager in instructing Claims Representatives.
• Attend claims seminars and insurance related meetings; participate in claims associations.
• Perform other duties as assigned by Claims Manager and Supervisor.

Qualifications

• High School education.
• Five to eight years of Property and Casualty claims experience.
• Professional Property and Casualty claims designations.
• Thorough knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved.
• Ability to learn the coverages of all insurance policies written by the company.
• Effective communication and negotiation skills.
• Ability to work effectively with company computer systems.
• Involvement in insurance related seminars and continuing education.
• Commitment to company values and customer service.
• Ability to perform the essential functions of the job with or without reasonable accommodation.

PI201214060