Property & Casualty Claims Examiner II

This is an experienced claims examiner position with over 2 years of experience in the Property & Casualty field. Works under less direct supervision with increased authority. These claims professionals will have previous experience resolving coverage questions, taking statements, establishing clear evaluation and resolution plans for claims. Clearly demonstrates the ability to handle claims in line with Claims Best Practices. Examiners at this level are expected to investigate and settle claims either in person or by phone depending on area assigned.

Essential Functions:

Make first contacts and evaluate proper resolution process
Meet or exceed service level objectives and expectations in a timely and courteous manner
Communicate with customers
Analyze information gathered during the investigation of claims
Establish accurate reserves that will reflect most likely outcome of the claim
Examine claims forms and other records to determine coverage
Other duties as assigned by management
Work schedules may be extended due to weather events impacting claim volumes

Skills:

Exceptional Interpersonal skills
Initiative and ability to think logically, analytically and critically
Strong time-management and organization
Ability to multi-task while maintaining accuracy and due diligence in performance
Strong computer skills with an ability to adapt easily to learning new software and procedures
Ability to listen to and understand information and ideas presented through spoken words and sentences
Ability to read and understand information and ideas in written form
Ability to communicate information and ideas in a way that others will understand
Ability to coordinate and employ vendors as necessary for assistance in claims adjustment

Claim Discipline Expectations

Identify subrogation potential
Identify fraud and refer to SIU
Refer risk conditions to Underwriting when appropriate
Prior experience as a Claims Examiner I or equivalent position
Determine proper handling method
Determine if field involvement is needed
Handle claims with more complexity and a higher average severity
Experience handling claims with Public Adjusters and Attorneys (pre-litigation)
Read and understand Independent Adjuster Reports
Investigate and determine cause of loss
Extensive knowledge of restoration and remediation estimates to determine proper handling method

Competencies and/or Attributes

Customer Focused
Accountability
Performance Driven
Empathy
Problem Solving
Adaptability

Experience, Education, and Licensure Requirement

College degree or professional designation strongly preferred
Professional insurance industry experience required
Valid 6-20 Claims Adjuster License or equivalent
Microsoft Office Suite experience required
2 years’ experience in the Property & Casualty field

Physical Requirements (Depending on area assigned)

Able to lift a certain amount of weight
Climb a ladder to get on a roof
Operate an automobile

Additional Details:

Salary: Salary commensurate with experience

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Schedule:

8 hour shift

Experience:

Claims Handling: 2 years (Required)

License/Certification:

6-20 Claims Adjuster License (Required)

Location:

Florida (Required)

Work Location: Remote

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