Claims Representative

Metairie, Louisiana
Salary commensurate with experience.
Nov 09, 2018
Dec 13, 2018
Job Type
Full Time



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. 


  • 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. 


  • 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. 


  • 3 or more years of property adjusting experience required. 


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