Commercial Property Senior Claim Representative I

1 month ago

Westerville, United States Accident Fund Holdings, Inc. Full time
Job Description

Primary responsibilities include providing prompt, cost effective and efficient examination, investigation and settlement of 1st party commercial property insurance claims for large level exposure for Excess Surplus lines and Admitted Policies with minimal supervision, by exercising independent decision-making skills, judgment, and providing informed coverage analysis.

RESPONSIBILITIES/TASKS:
  • Primary responsibilities include the ability to utilize independent decision-making skills to evaluate commercial property claim coverage and determine the scope of damages, direct external investigation while providing timely customer service and resolution of complex and large exposure first party property claims.
  • Conduct prompt, thorough, and fair investigations by obtaining relevant facts and expert input (as appropriate) to determine cause and extent of damages.
  • Assign, direct, and handle property losses through the use Independent Adjusters and other experts and vendors as appropriate.
  • Possess the ability to interpret and understand commercial property coverage forms including knowledge of exclusions, limitations and amendatory endorsements.
  • Determine scope of damages through the use of Xactimmate and/or vendor and IA estimates.
  • Utilize experts such as structural engineers, building consultants, cause and origin investigators and other specialized vendors as deemed appropriate to move the claim toward resolution.
  • Exercise independent decision-making skills with minimal to moderate supervision and direction on claims assigned, using knowledge of local codes, regulatory laws, standards and case-law.
  • Verify coverage, conduct a complete investigation and document the claim file according to the property file handling guidelines and Department of Insurance requirements by gathering all pertinent information necessary to determine the resolution of the claim.
  • Set timely reserves, provide pertinent details to manager when loss exceeds adjuster authority and timely request reserves and payment authority.
  • Maintain communication with all interested parties in the claim including the insured, retail and general agents, public adjusters and attorneys.
  • Ability to negotiate settlements with the insured, attorneys or 1st party representatives.
  • Retain and manage outside vendors to ensure focused information is provided in the investigation and cost containment is maintained.
  • Establish and maintain through effective communication, positive working relationships with all internal and external customers.
  • Proficient in writing position letters (Reservation of Rights and Declination, detailed settlement letter)
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS

EDUCATION OR EQUIVALENT EXPERIENCE:

Bachelor's degree in a related field OR Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification and designations such as CPCU, CIC, AIC, SCLA etc. is highly preferred and encouraged.

EXPERIENCE:

Seven years of progressively more responsible experience in a Commercial Property claims environment that provides the necessary skills, knowledge and abilities, such as experience in reviewing, investigating and resolving the most complex commercial property claims. Experience handling claims in multiple states preferred.

EDUCATION
  • Bachelor's degree in a related field. Relevant combination of education and experience may be considered in lieu of degree.
  • Continuous learning, as defined by the Company's learning philosophy, is required.
  • Certification or progress toward certification is highly preferred and encouraged.
QUALIFICATIONS
  • Ability and proficiency in the use of computers and company standard software specific to position.
  • Strong oral and written communication skills.
  • Strong customer service skills.
  • Ability to negotiate, build consensus and resolve conflict.
  • Ability to act as a representative of the Company and establish effective working relationships.
  • Ability to manage multiple priorities and meet established deadlines.
  • Attention to detail and analytical skills.
  • Ability to make independent decisions.
  • Ability to solve highly complex problems.
  • Ability to train and mentor others.
  • Ability to lead others.


WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimal skills and experience levels associated with performing the duties and responsibilities contained in this position description. The qualifications should not be viewed as absolute standards, but as general guidelines that should be considered with other position-related criteria.

Pay Range - Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $70,400 and $117,800.

We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

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