Richardson,
TX
(Click company name to view employer profile and all available
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Career Field |
Claims
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| Insurance
Discipline |
All
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| Relocation
Assistance |
Not Available
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| Job
Duration |
Full Time |
| Salary
Offered |
Open |
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SUMMARY:
Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management.
Conducts coverage investigation and analysis, outside liability investigation and analysis, evaluation of bodily injury and property damage claims, and negotiation and resolution of PL and CL auto bodily injury, homeowner's liability, and commercial general liability claims.
Makes face-to-face same day contact with claimants and insureds; provides outstanding customer service.
Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition.
PRIMARY DUTIES:
Timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case. Consult with Unit Manager on use of Claim Coverage Counsel.
Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Take necessary statements.
Identify resources for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. Request through Unit Manager and coordinate results of their efforts and findings.
Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
Keep effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure, and establish proper indemnity and expense reserves.
Utilize evaluation documentation tools in accordance with department guidelines.
Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Recognize and implement alternate means of resolution.
May manage litigated claims. Develop litigation plan with staff or panel counsel, track and control legal expenses. Assure cost-effective resolution.
Maintain claim files, have an effective diary system, and document claim file activities in accordance with established procedures.
Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
Recognize cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit.
Appropriately deal with information that is considered personal and confidential.
Compliance with Claim Department's Best Practices.
Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers.
Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws
Provide quality customer service and ensure file quality.
Share accountability with business partners to achieve and sustain quality results.
EDUCATION/COURSE OF STUDY:
College degree or equivalent in business discipline preferred.
WORK EXPERIENCE:
A minimum of two years of auto and homeowner (or GL) claim handling experience and one year bodily injury claim experience. Auto appraisal skills are also a plus.
CERTIFICATES/DEGREES:
State license where applicable and continuing education.
COMPUTER SKILLS:
Strong keyboarding skills and basic PC familiarity.
OTHER:
Litigation experiences a plus.
Advanced level knowledge and skill in claims and litigation.
Basic working level knowledge and skill in various business line products.
Strong negotiation and customer service skills
Experience in negotiating bodily injury claim settlements directly with claimants and attorneys preferred.
Poised, polished communication skills.
Strong keyboarding skills and basic PC familiarity.
Ability to work independently in a virtual home office environment.
Must be flexible to meet the service needs of our customers and business partners.
Ability to handle multiple tasks simultaneously in a fast paced environment.
Independent decision making ability.
Valid drivers license and good driving record.
File Management
Business Knowledge/Technology
Customer Focus
Relationship Management
Change Management
Decision Making
Leadership In A Matrix Environment
Strategic Thinker
Creativity
Initiative
Collaboration
Communicates Effectively And Influences Others
Trend Analysis
Project Management
Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.
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