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Orange, CA
(Click company name to view employer profile and all available positions.)
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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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Location: Los Angeles, CA
SUMMARY:
Effective handling of first party personal and commercial lines property claims of basic to moderate complexity.
Contacting clients, determining coverage, scoping of loss and completing damage estimates via Xactimate software, negotiating and settling claims per Best Practices and within DOI regulations.
Managing a file inventory in an organized manner including maintaining an effective diary system and accurately documenting claim activity in system file notes in order to effectively resolve claims.
Establish and maintain favorable working relationships with customers, marketing partners, contractors and all internal parties/ resources.
Write denial letters, Reservation of Rights and other complex correspondence.
Identify and refer claims with high level exposure to the supervisor as warranted.
Refer claims to Special Investigations Unit and/or Subrogation Unit as warranted.
Perform administrative functions such as expense accounts, time off reporting, etc. as required
Perform any other duties as required.
Occasional catastrophe duty, including travel to other offices and states may be required.
Demonstrate proficiency in first party estimating, investigation, evaluation and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality.
PRIMARY DUTIES:
Handle 1st party Property claims of moderate complexity as assigned.
Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
Investigate and evaluate all relevant facts to determine coverage, damages and liability of first-party property damage claims.
Establish timely and accurate claim and expense reserves.
Negotiate and convey claim settlements within authority limits.
Write denial letters, Reservation of Rights and other complex correspondence.
Control damages through proper usage of cost containment tools.
Meet all quality standards and expectations per Best Practices.
Maintain an effective diary system and document claim file activities in accordance with established procedures.
Manage file inventory to ensure timely resolution of cases.
Handle files in compliance with state regulations, where applicable.
Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers.
Identify and refer claims with MCU exposure to the supervisor.
Recognize when to refer claims to Special Investigations Unit and/or Subro Unit.
Perform administrative functions such as expense accounts, time off reporting, etc. as required
Perform any other duties as required.
Occasional Catastrophe Duty, including other offices and states may be required.
EDUCATION/COURSE OF STUDY:
College degree or equivalent in business discipline.
WORK EXPERIENCE:
Previous property claim handling experience is preferred.
Knowledge of construction, estimating and estimating system (Exactimate preferred)
COMMUNICATION SKILLS:
Must display solid verbal and written communications skills.
COMPUTER SKILLS:
Hardware and software skills and abilities including computers and other similar electronic devices.
OTHER:
Excellent organizational skills with the ability to work independently.
Solid analytical skills.
Excellent negotiation skills.
Candidates must have excellent customer service, communication and organizational/time management skills, as well as the ability to competently handle multiple tasks simultaneously.
Must have at least three years of 1st party property claim handling experience, including coverage analysis, structural damage estimating ability and Xactimate software knowledge/experience.
Two or four year college degree preferable, however all candidates will be considered.
Construction industry experience and/or knowledge is a plus.
Valid California Driver''s license.
Working Environment:
Inside/Outside working environment, including working in and around physical structures, including climbing on ladders and roofs, crawling in floor-spaces or other similar physical tasks.
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