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Catastrophe Property Claims Examiner II

Work from home Full-time role Hiring

Job Description:

  • Investigate, evaluate, and resolve claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
  • Adjust reserves and provide reserve recommendations to ensure reserving activities are consistent with company policies.
  • Enter claim transactions, in a clear and concise manner.
  • Examine claims inspected by independent adjusters, including further investigation of questionable claims, verification of coverage, and timely issuance of payments to policyholders.
  • Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders in accordance with Department of Insurance regulations.
  • Pay and process claims within designated authority level.
  • Supervise independent adjusters to ensure adherence to CFP IA Guidelines.
  • Maintain compliance with the Department of Insurance and Company policy and procedures.
  • Create correspondence to policyholders that is accurate and complete. Communicate with insureds and/or others involved to secure missing information.
  • Promptly negotiate settlements, making sure that the settlement reflects the actual insured losses while ensuring that the insurer is protected from invalid claims.
  • Confer with Claims Management and legal counsel on claims involving litigation.
  • Requires up to 25% travel, limited to periods of catastrophic events.

Requirements:

  • Minimum bachelor’s degree or equivalent preferred.
  • Excellent oral and written communication skills.
  • Working experience with MS-Office (especially Word and Excel) is required.
  • 2 + years property claims experience and excellent customer service.
  • Certified in CEA and Fair Claims Settlement Practices.

Benefits:

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