Essential Duties and Responsibilities:
- Follows corporate policies, procedures, and fair claims handling practices
- Investigates claims to determine validity and extent of liability, including:
- Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
- Reviews and evaluates documentation, including applications, reports, and statements
- Monitors appropriate claim outcomes through self-audit process
- Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
- Ensures legal, regulatory and fair claims handling compliance
- Sets or recommends reserves based on results of claim investigation.
- Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
- May provide interaction with insureds, agents, claimants, attorneys, and other service providers, including:
- Conducts in-depth interviews and/or scene inspections
- Attends settlement conferences and/or trials
- May serve as a member of project teams, contributing to the achievement of project objectives.
- Performs other duties as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
