Description

• Independently review claim and policy information to support investigations and determine policy obligations.
• Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties.
• Inspect and appraise property damage or coordinate appraisals as needed, based on the line of business.
• Analyze investigative findings to determine liability and the company's obligations under policy contracts.
• Prepare thorough reports on investigations, settlements, claim denials, and individual claim evaluations.
• Set and recommend changes to claim reserves within established authority limits.
• Review claim progress and status with the Team Leader, discussing challenges and proposing solutions.
• Identify and escalate unusual or high-exposure claims to the Team Leader.
• Collaborate with the Team Leader to develop and implement improved claims handling methods.
• Settle claims promptly and fairly, ensuring equitable outcomes.
• Obtain necessary releases, proofs of loss, or compensation agreements and issue claim payments.