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Claims Representative I
2 months ago
CLAIMS REPRESENTATIVE I
Investigates, determines liability, confirm coverage, establishes damages, and negotiates settlement of auto, property and light general liability claims for a Member based organization in accordance with approved policy & procedure and industry Best Practices. This position does not handle injury, complex or litigated claims.
RESPONSIBILITIES AND DUTIES:
- Responsible for the investigation of assigned auto, non-complex general liability, and first-party property cases in compliance with prescribed industry best practices. This includes verifying coverage, determining liability, evaluating damages, establishing reserves, reporting status, and negotiating appropriate settlements for each claim.
- Possesses a certain level of financial authority to settle independently.
- Maintains an appropriate diary and documentation as to file activity.
- Makes determination and handles files with subrogation potential.
- Works with Independent Appraisers to estimate the cost of repair or replacement of damaged or stolen vehicles / damaged property.
- Reports theft, fraud, and arson losses as required to state and industry agencies, as appropriate.
- Performs most duties on an individual basis, and work has a direct bearing on Management results.
- Represents the Company from a public relations standpoint and must conduct oneself appropriately at all times.
- Personal contacts are a major part of activity and include Members, claimants, witnesses, vendors, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses and all other person’s incident to the investigation and processing of claims.
- Attends required or necessary training sessions, courses to maintain their license credits and to maintain up to date knowledge & skills.
- Performs other duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
- Excellent negotiation, analytical and interpretive skills
- Excellent oral, written communication and presentation skills
- Strong organizational and interpersonal skills
- Superior customer service skills
- Able to multitask and set own priorities
- Works well under pressure
- Should be used to and able to function effectively in a fast-paced environment.
- Able to establish and maintain effective working relationships with department heads, managers, employees, and vendors.
- Government claims background is a plus.
- Physical Requirements include: Bending, Pulling, Sorting, Carrying up to 20 lbs., Pushing, Speaking (English), Climbing, Reaching, Standing, Key entering, Reading (English), Walking, Kneeling, Seeing, Writing (English)
- Should be able to type 35 WPM.
- Spanish fluency is a plus.
TRAINING AND EXPERIENCE:
Position requires a degree from an accredited College/University in business or insurance preferred or equivalent experience in industry. One to three years of experience in insurance industry as a Customer Service Representative or Property or Auto Liability (no injury) adjuster. Knowledge of Microsoft Office products a must. Must have an active Florida Adjusters License.
Classification: Exempt
Dept: Property & Liability
Reports to: Claims Supervisor
