Insurance Claims Examiner
Director of Ghertner Maintenance
Investigate, evaluate, and advocate for the company and the insured in Commercial Lines Insurance claims in order to achieve best practices settlements within legal statues, policy provisions, and Company or Client guidelines.
Ability to manage multiple projects and prioritize
Minimum 5 years’ experience of insurance claims
Provide strong customer service
Work independently as well as with a team
Communicate clearly, both oral and written
Ability to negotiate
Strong work ethic
Good PC skills, including Google Docs, Google Drive, Microsoft Office
Good planning and organization
Maintain acceptable attendance and adhere to scheduled work hours
Ability to read coverages and have a good understanding of terminology
Key Responsibilities and Accountabilities
Proactively communicate and collaborate with external and internal customers, claims adjusting firms, and legal firms to assess and meet information needs
Exercises discretion and independent judgment to investigate, evaluation, and settle insurance claims.
Provide clerical/administrative support to department personnel
Build relationships with the insured and property manager representative
Process initial information on claims over the telephone and/or in person, including first reports of loss
Act as intermediary between the company, the insured, and the carrier
Establish and maintain active claim files to include correspondence, estimates, payments, and claim summary
Perform administrative functions, including but not limited to correspondence, reports, and other documents as needed
Coordinates complex policy issues and find resolution to include managing multiple tenants and/or owners, managing multiple agents and/or adjustors, insurance policy interpretation, reactive emergency services following first visit, enforcement of company policy
Establishing own hours based on the needs of clients, adjuster and agents
Exercises discretion and confidentiality with owner/tenant/and board information
Acting in the best interest of the company to protect the company’s interests (e.g. choosing not to accept a higher risk claim)
Selecting appropriate vendors for emergency services at the time of loss
Maintain claims dead files
Read and interpret governing documents and coverages
Contact agent for clarification or to obtain missing information
Generate, review, verify, and communicate quotes
Physical Demand & Work Environment
While performing the duties of this job, the employee is frequently exposed to fumes or airborne particles, moving mechanical parts and vibration.
The employee is occasionally exposed to a variety of extreme conditions at construction job sites. The noise level in the work environment and job sites can be loud.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
The employee is occasionally required to sit; climb or balance; and stoop, kneel, crouch or crawl.
The employee must frequently lift and move up to 10 pounds and occasionally lift and move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.