Job Details

Claims Examiner I

The Claims Examiner I will process insurance claims for property losses based on coverage, appraisal, and verifiable damage. Interact with independent adjusters and policy holders, review claim forms and other records to determine insurance coverage. Make payment recommendations and settlements in accordance with company practices, procedures, and Fair Claims Settlement Practices regulations.

Principal duties and responsibilities include investigating, evaluating, and resolving claims, adjusting reserves, entering claim transactions, examining claims inspected by independent adjusters, conducting daily diary reviews on claim files, paying and processing claims, supervising independent adjusters, maintaining compliance with the Department of Insurance and Company policy and procedures, creating correspondence to policyholders, negotiating settlements, and conferring with Claims Management and legal counsel on claims involving litigation.

Additional duties and responsibilities may include handling the entire claim or a specific coverage, such as Personal Property or Fair Rental Value, focusing on claims up to $100,000 in damages, and receiving larger claims when necessary.

Education and experience required include a minimum bachelor's degree or equivalent preferred, excellent oral and written communication skills, working experience with MS-Office (especially Word and Excel), 2+ years property claims experience, excellent customer service, and certification in CEA and Fair Claims Settlement Practices.

Additional requirements include 2 years handling Homeowners claims and carrier experience preferred.