Claims Representative

Location
Metairie, Louisiana
Salary
Salary commensurate with experience.
Posted
Nov 09, 2018
Closes
Jan 08, 2019
Category
Claims
Job Type
Full Time

 CLAIM REPRESENTATIVE- OFFICE 

POSITION SUMMARY

The Claim Representative (office) is responsible for handling first party and third party personal lines and commercial lines claims of low to moderate complexity and/or exposure; Evaluate and settle claims within designated authority; direct the investigation and claims settlement activities of Field Adjusters and vendors. Examine assigned claim files, insurance policies and other documents to determine coverage applicable to a loss. Pay claims within designated authority.  This is a full time position.  Regular working hours are Monday through Friday, 8:00 am- 4:00 pm, although, there is some flexibility in hours within the confines of the job requirements; but the employee must be available to work in the event of a catastrophe. 


PRIMARY RESPONSIBILITIES

  • Review, investigate, confirm coverage, determine liability, establish damages, and negotiate settlement of first and third party property and casualty insurance claims.
  • Relies on experience and judgment to perform assigned tasks.
  • Effectively collaborate and communicate with insured’s, claimants, producers, attorneys, internal staff and all other involved parties regarding claims handling as necessary.
  • Verify and analyze data to ensure that the claims are valid and that the settlements are made according to company practices and procedures.
  • Maintain claim files and update as needed.
  • Document claim files to support actions taken.
  • Maintain adequate reserves.
  • Maintain current knowledge of policy contracts, court decisions, and industry trends.
  • Handle claims in compliance with statutes, regulations, and case law.
  • Serve as a catastrophe team member and assists with the execution of the Company’s Catastrophe Response Plan. 

SKILLS

  • Must possess strong verbal and written communication skills.
  • General knowledge of insurance contracts, Unfair Claims Settlement Practices, legal decisions affecting claims operations, Claims Plan, Claims Handling Procedures Manual and corporate claims policies and procedures.
  • A demonstratable aptitude or experience in evaluating, analyzing and interpreting information.
  • Must be knowledgeable in Microsoft Word and Excel. 

EXPERIENCE

  • 3 or more years of property adjusting experience required. 

EDUCATION

  • Bachelor’s Degree or equivalent experience required.
  • High School Graduate or GED Certificate required.
  • Active Louisiana Adjusters License required.

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