Sr. Liability Claims Representative

• Excellent time and project management skills
• Meticulous attention to detail
• Advanced knowledge of industry-specific software applications
• Excellent customer relations skills
• Ability to provide transparent information and demonstrate high customer service
• Team collaboration
• Excellent fundamental understanding of insurance policy terminology
• Problem-solving and analytical thinking
• Strong verbal and written communication skills
• Strong negotiation skills
• Ability to speak and present in public
• Interest in discovering and developing new ideas.
• Service and people-oriented.
• Agile and adaptable decision-making
• Problem-solving approach that suggests trustworthiness
• Familiarity with technology infrastructure and user of technology tools

• Communicates with customers and associates virtually over the telephone in person and in written correspondence.
• Takes initial calls and provides instructions on claim filing requirements.
• Investigates claims on-site evaluates damages completes coverage analysis damage assessments cause/origin determination and submits a field report with a narrative estimate photos and any other pertinent information for the damages.
• Utilizes policy and investigation reports to determine compliance and validity of claims for processing or denial.
• Interviews claimants specialists witnesses physicians or other professionals as necessary.
• Determines liability and total value of claim; negotiates settlements and makes recommendations regarding litigation.
• Issues denial notification regarding claim issues i.e. claim not covered or does not meet deductible level.
• Obtains police reports issue restitution notifications requests deductible payments and processes claim payments.
• Consults with attorneys regarding claims to control costs and assists in making decisions and actions.
• Negotiates directly with the claimants as necessary.
• Assists with workflow and the number of claims that are assigned to each examiner.
• Manages the daily task list of claims which are assigned to each examiner.
• Reviews and follows up on claims as needed and closes files as appropriate.
• Performs subrogation and recovery of property claims where there is another responsible party.
• Maintains claim files and other related documents pertinent to insurance claim activities.
• Acts as a resource to all other claims staff. Provides support direction advice and mentoring.
• Assists in the development of claims staff policy procedure and protocol.
• Assist and develop training presentation material.
• Maintains confidentiality of all information.
• Participates in cross-functional team process improvement projects.
• Performs other duties as assigned.

• Bachelors degree in insurance Economics Business Administration or related field and ten years experience in insurance claims handling or risk management required.
• Designations and certificates from accredited insurance institutions preferred.
• Minimum of five years of desk adjusting experience involving property claims required.
• Minimum of five years of field adjusting experience involving property liability claims required.
• Minimum of five years of field adjusting experience using software applications such as Symbility Xactimate or Xactanalysis preferred.
• Minimum of three years of carrier risk information system experience such as Guidewire or Sapiens preferred.
• Must possess a valid drivers license
• Must be able to successfully pass a background investigation; no felony theft or fraud convictions.
• Must be able to travel 50% as needed.

• New employees must complete the Associate in Insurance (AINS) designation within six months from the end of the 90-day evaluation period to be eligible for advancement and incentive compensation.
• For continued employment employees must complete an elective course and six hours of professional development within 12 months after the end of the 90-day evaluation period.

• Knowledge of applicable federal state Tribal and local laws regulations and requirements.
• Knowledge of property auto liability insurance laws policies and regulations.
• Knowledge of medical and insurance terminology and of claims processing practices.
• Knowledge of occupational safety theory principles and practices.
• Knowledge of modern office practices procedures and equipment.
• Ability to communicate effectively in the English language both verbally and in writing.
• Ability to analyze situations and adopt appropriate courses of action.
• Ability to work effectively under stressful conditions.
• Ability to interact and maintain good working relationships with individuals of varying social and cultural backgrounds employees and officials.
• Ability to develop and interpret policies procedures and regulations.
• Ability to maintain an accurate and organized filing system of complex insurance records and reports.
• Ability to handle multiple tasks and meet deadlines.
• Ability to exercise independent judgment.
• Ability to train and present information to others.
• Ability to follow oral and written instructions.
• Ability to collect and analyze data and prepare and present accurate reports and recommendations.
• Ability to act with integrity and maintain confidentiality.
• Skill in performing statistical and mathematical computations.
• Skill in preparing presenting reviewing and analyzing insurance claims forms and reports.
• Skill in providing excellent customer service.
• Skill in operating business computers and office machines including in a Windows environment specifically Word Excel Access and presentation software (such as PowerPoint).
• Database management skills.
• Excellent telephone communication skills.

• Typical business office setting with moderate noise level and outdoor settings with a high noise level.
• Non-office environment may be encountered for offsite presentations and support of company activities.
• While performing outdoor duties one may be exposed to natural weather conditions and temperatures various dusts smoke and mists as well as normal debris and hazards.
• Must be able to sit for work at a computer and phone for more than 6 hours per day.
• Must be able to speak clearly.
• Must be able to use hands for dexterity of motion.
• Frequently required to stand walk and reach with hands and arms.
• Must have ability to occasionally lift 20 lbs.
• Must have ability to climb ladders for a property inspection.
• Must be willing to travel as necessary.
• Minimal business travel required.

Required Experience:

Senior IC