Claims Senior Representative-Property Field Expert

24 hours ago

Westfield Center, Ohio, United States ohio farmers insurance Full time
Job Summary

We are seeking a highly skilled Claims Senior Representative-Property Field to join our team at Ohio Farmers Insurance. As a key member of our claims team, you will be responsible for handling complex claims and providing exceptional customer service to our policyholders.

Key Responsibilities
  • Determine coverage and investigate, analyze, negotiate, and settle claims not requiring outside investigation.
  • Deliver quality customer service in a high volume, moderate complexity work environment and mentor less experienced Adjusters on the team.
  • Investigate thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, legal climate, potential exposure, and damages, and make decisions on claim resolution.
  • Meet established goals & objectives, arrange for salvage disposition and other recovery proceedings as necessary, participate in claim file reviews and audits with customer and broker.
  • Determine the value of the physical damage of property, or injuries through appropriate tools, recognize claim file exposures and escalate appropriately.
  • Provide support in negotiation of settlements with insureds, claimants, vendors, attorneys, and other insurance companies.
  • Manage approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets.
  • Support to review proper reserves for each claim based upon thorough investigation, evaluation, and experience.
  • Identify and refer all claims to management for further handling and assignment instructions.
  • Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations.
  • Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing.
  • Requests additional information from an agent, identifies the need for referral to the field based on underwriting guidelines.
  • Maintains effective and ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel.
  • Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation.
  • Interprets complex and detailed documents such as contracts, legal documents, medical reports, insurance regulations and policies as needed.
  • Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices.
Requirements
  • 4+ years of Claims Handling experience.
  • Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience.
  • For field roles only: Valid driver's license and a driving record that conforms to company standards.

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