Claims Adjuster

Des Moines, Iowa
Not Specified
Sep 28, 2016
Nov 27, 2016
Job Type
Not Specified
Career Level
Not Specified
General Summary

Handles complex claims involving coverage, liability issues, and moderate damages as defined by Department processes and procedures. May be involved with litigated files for experience and developmental purposes. May support Property, Casualty, Workers' Compensation, or Auto claims.

Key Responsibilities

1. Determines policy status and coverage; reviews appropriate policies for coverage, limits and deductibles; immediately notify supervisor of any claim that may be outside of assigned scope of handling level or authority.
2. Makes prompt contact with insureds, claimants and witnesses involved in the loss or accident.
3. Conducts investigation necessary to determine compensability and/or liability, including recorded statements based on Department processes and procedures. Assigns necessary inspections of damages or scene. Reviews any estimates or receipts for consistency with description of loss as well as appropriate scope and pricing. Identifies any legal liability issues and consults with supervisor.
4. Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion.
5. Evaluate and settle workers' compensation, bodily injury, liability, business interruption, or structural claims with minimal input from supervisor.
6. Ability to prepare residential and commercial property estimates using estimating software if applicable to job function.
7. Maintains electronic records that accurately and thoroughly document all file handling activity.
8. May be called upon to perform additional duties as directed. Minimum Experience / Education:

• 3 years or more claims handling experience preferred.
• High school degree or equivalent; college degree preferred.
• Insurance designation preferred.
• Basic computer skills and Microsoft applications.

In states where required, obtains and maintains necessary adjuster licensing.

Communication: Professional oral and written communication skills are critical to the success of this position. All claims service must be handled with tact, diplomacy and courtesy at all times. Must create documents that are technically correct and in compliance with State Auto's guidelines.

Collaboration: Must be able to collaborate and develop strong team relationships with associates from within and outside the Claims Department.

Technical Knowledge: Must have a comprehensive knowledge and understanding of insurance policies, including personal and commercial auto or property policies and various commercial general liability policies. Must have the ability to read and understand complex documents such as medical reports, contracts and other legal documents.

Physical Ability - Property: Must be willing and able to perform CAT adjustment duties (overnight travel involved) including, handling of ladders, climbing on roofs and other physical demands involving outside property claim handling.

State Auto Values: Must be willing to work by the "values" established by State Auto

State Auto offers a competitive salary, an annual bonus program, an excellent benefit program including medical, dental, vision and prescription insurance coverage, life insurance, matching 401(k) plan, flexible spending accounts, tuition assistance, and a stock purchase plan.
State Auto is committed to the principal of equal employment opportunity for all associates and applicants and to providing associates with a work environment that is free from discrimination and harassment. All employment decisions (hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training and work assignments) are based on business needs, job requirements and individual qualifications without regard to race, color, religion, gender, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, citizenship status, military status, or status as a covered veteran in accordance with applicable federal, state and local laws. State Auto will not tolerate discrimination or harassment based on any of these characteristics.

State Auto is a smoke-free work environment. We utilize drug screening and background checks as conditions of employment. For all exempt positions we also obtain motor vehicle reports (MVR s).

State Auto will not accept candidates from third-party recruiters without a signed agreement with State Auto.