Handle 1st party Personal Insurance and Business Insurance property claims. The largest segment of inside claims involves personal property and business personal property related to crime or disappearance causes of loss. In addition, there are a wide variety of other causes of loss that may be handled. Claims will also involve low severity building damage losses. The majority of claims will have financial exposure of less than $5,000, but can involve higher exposure depending on loss type and nature of the damaged property. Occasionally handles claims with additional complexities related to unique coverage and/or damage issues.
PRIMARY DUTIES AND RESPONSIBILITIES:
Handle 1st party PI and BI Property claims of low to moderate severity and complexity as assigned.
Investigate and evaluate all relevant facts to determine coverage, damages and liability of first-party property claims under a variety of policies.
Establish accurate scope of damages for building and contents losses and utilize as a basis for written estimates and/or computer assisted estimates.
Review and analyze policy conditions, provisions, exclusions and endorsements pertinent to a variety of property losses.
Obtain and analyze leases, contracts, by-laws and other relevant documents which may have an impact on the adjustment of losses.
Establish timely and accurate claim and expense reserves.
Determine appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles. Negotiate and convey claim settlements within authority limits to insureds.
Write denial letters, Reservation of Rights and other complex correspondence to insureds.
Control damages through proper usage of cost containment tools.
Meet all quality standards and expectations per Best Practices [Claim Knowledge Guides or Property Knowledge Guides].
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.
Identify and refer claims that may have valued added by an outside field inspection.
Determine cases that may have fraud potential and to refer claims to Travelers Investigative Services.
Identify potential for subrogation and refer appropriate claims to the Subro Unit.
Virtually handle inside claims from across the country; manage periods of increased claim volume.
Occasional travel for Catastrophe Duty, including other offices and states may be required.
Perform any other duties as required.
EDUCATION/COURSE OF STUDY:
College Degree or equivalent business experience
Basic knowledge of construction preferred
Work experience providing customer service preferred
Excellent organizational skills with ability to work independently
Solid analytical and decision making skills
Adjusters license as required, based on business needs
Strong verbal and written communications skills
Customer service orientation; empathy
Demonstrated ownership attitude and customer centric response to all assigned tasks
Working knowledge of Excel and Word
Excellent negotiation skills
Hardware and software skills to utilize and leverage claim and estimating technology
Travelers is an equal opportunity employer. We actively promote a drug-free workplace.
Travelers Co - 18 months ago