Claims Examiner

This is a Full-Time Remote Daily Claims Examiner position.

MUST HAVE EXPERIENCE ADJUSTING/AUDITING COMMERCIAL CLAIMS. 

Overview:

The Claims Examiner will investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with client guidelines. The Examiner will provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production.

Essential Functions:

• Demonstrated understanding of estimating and collaborating in Xactimate and XactAnalysis.    
• Conducts thorough investigations, as outlined in claim handling guidelines and best practices. 
• Denies, settles, or authorizes payments to complex property claims based on coverage, field reports, and verifiable damage. 
• Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc. to gather important information to support the claims; including proofs of loss. 
• Sets proper reserves. 
• Takes recorded statements, as needed. 
• Reviews and evaluates complex property claims for coverage and further claim handling procedures to conclude within required statutory time frame. 
• Interpret policy language and evaluate coverage issues of multiple different policies and endorsements. 
• Addresses diaries, emails and voicemails.  
• Prepares technical claim documents and correspondence. 
• Prepares report of findings of an investigation.
• Other duties as assigned.

Job Requirements:

• 3+ years of related property claim handling experience
• Extensive experience with Xactimate and XactAnalysis
• Home State Adjusting License with Reciprocal abilities  
• Strong Letter Writing Skills related to policy interpretation is a must 
• Able to handle complex property claims 
• Decision making skills and the ability to work independently  
• Good organization and time management skills 
• Analytical and proactive claim handling skills 
• Excellent customer service skills

Recruitment Fraud Notice: RYZE Claim Solutions has discovered incidents of employment scams, where fraudulent parties pose as RYZE employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. Please know that RYZE has standard operating processes and procedures in place for the interviewing and hiring process. We encourage you to use caution when engaging with individuals.