Description

JOB DESCRIPTION

MAJOR DUTIES/RESPONSIBILITIES OF THE JOB:

They will analyze first reports, contact insured/claimants promptly, and evaluate contract language to identify coverage issues. The specialist will develop and maintain accurate and timely investigation and loss analysis, establish reserves, and recognize and pursue recovery. They will adhere to statutory and regulatory fair claims practices and identify potential fraudulent claims. The specialist will also manage the use, work product, and expenses of outside vendors, and evaluate claim facts. They will serve as a technical resource to lesser experienced adjusters and contribute to the team's goals and objectives.

RESPONSIBILITIES:

• Analyze first reports and promptly contact clients.
• Effectively evaluate contract language and identify coverage issues
• Develop the file to provide accurate and timely investigation and loss analysis.
• Maintain an active file diary to move the file toward resolution.
• Establish accurate and timely reserves.
• Adhere to all statutory and regulatory fair claims practices.
• Recognize and identify potential fraudulent claims.
• Manage the use, work product, and expenses of outside vendors.
• Develop and maintain strong business relationships with internal and external customers.
• Contribute to the development and delivery of the team's goals, objectives, and results.
• Support workload surges and/or Catastrophe Operations as needed, including working overtime during designated CATs.

Requisition #: 33381

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