Associate Claim Representative

4 weeks ago


Tampa, United States Loggerhead Full time

Overview

As part of Loggerhead’s Claims team, the Associate Claim Representative is responsible for receiving, investigating and adjusting simple first party homeowner claims, while also assisting the claims team with some clerical functions. The associate representative will work under normal supervision with authority commensurate with experience.

Duties & Key Responsibilities (other duties may be assigned)

  • Take FNOL telephonically or receiving via eFNOL and open all known exposures within the claim management system
  • Make 1st contact, setting expectations with regard to coverage, limits/sublimits, deductible and offer emergency services to Policyholders in need
  • Triage new claims and direct the appropriate adjustment method
  • Initial and subsequent indemnity and expense reserving
  • Take recorded statements of Policyholders and other involved parties
  • Investigate coverage and document within the claim management system
  • Prepare and send acknowledgement, status, reservation of rights, or denial letters
  • Notate all investigative activity within the claim management system
  • Follow up with other parties to secure necessary information to evaluate claims
  • Report claims to ISO and evaluate loss history
  • Collaborate with the SIU department investigating potentially fraudulent claims
  • Pursue all potential subrogation/contribution recovery avenues
  • Analyze all claim documentation to calculate contractual monies owed, or recommend denial of those not owed
  • Issue indemnity and expense payments/recoveries in the claim management system
  • Report known Underwriting issues for risk evaluation
  • Seek Management guidance for issues of coverage, claims in excess of monetary authority and when investigative steps are not clear
  • Identify, investigate and help resolve production errors in the claim management system
  • Assist team members as needed
  • Triage and direct incoming Claims Mail (electronic and physical)


Skills

Strong team-oriented interpersonal skills, with the ability to effectively collaborate with a broad range of internal/external contacts and roles, including vendors, Public Adjusters, Contractors and Attorneys

Ability to contribute and collaborate as a team member while working proactively and independently

Strong presentation, persuasion, written, telephonic and interpersonal skills

Strong attention to detail, organizational, time management, and analytical skills

Enthusiasm for growth, learning and developing new opportunities with the company as it launches new products and services for its Policyholders


Knowledge & Experience

Desired Adjuster Entry Level Training

Demonstrable experience performing each key responsibility satisfactorily

Desired knowledge of building construction, damage evaluation and repair methods

Desired knowledge of internet software, MS Office products


Education & Certifications

Associate degree in Business, Risk Management, or equivalent work-related experience

Florida all lines adjuster license


Compensation and Benefits

Market Competitive Salary

Comprehensive benefits package including company paid time off, comprehensive insurance plans, and 401k plan with company contribution


Work Conditions

Remote work-from-home work environment with occasional time spent at the Tampa Corporate Headquarters for training and corporate/departmental meetings

May be required to work flexible hours and/or weekends dependent on claim volume and Catastrophes

May be required to travel to other domestic locations (primarily in Florida), as needed



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