Senior Claims Representative I

Description:

Summary:

This position is responsible for adjusting and settling property claims for all property lines of business written by the company with settlement authority up to $40,000.

Functions:

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.

Requirements:

High School education required. Five to eight years of Property and Casualty claims experience required. Professional Property and Casualty claims designations preferred. Thorough knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved required. Proficiency and knowledge of the Xactimate estimating platform preferred. Ability to learn the coverages of all insurance policies written by the company required. Effective communication and negotiation skills required. Ability to work effectively with company computer systems required. Involvement in insurance related seminars and continuing education required. Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota) and travel to vendor work sites required. Ability to work in an office environment with moderate noise level, remain in a stationary position and operate a computer a majority of the time required. Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required. Ability to perform the essential functions of the job with or without reasonable accommodation required. PI284595063