Catastrophe Property Claims Examiner II

Embedded Shishya; Deutschland; Vor Ort; EUR 42.000 - 62.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a property claims professional to investigate, evaluate, and resolve claims while ensuring fair settlements and compliance with regulations.

You will adjust reserves, review independent adjuster work, and maintain documentation with clear communications to policyholders. The role requires 2+ years of property claims experience, MS Office proficiency, and relevant certifications.

Qualifikationen

• Excellent oral and written communication skills.
• 2+ years property claims experience with customer service.
• MS-Office (Word and Excel) proficiency.
• Certifications in CEA and Fair Claims Settlement Practices.

Aufgaben

• Investigate, evaluate, and resolve claims to promote fair settlements.
• Adjust reserves and provide reserve recommendations per company policies.
• Enter claim transactions clearly and concisely.
• Review claims inspected by independent adjusters and verify coverage.

Kenntnisse

Communication skills

Customer service

Ausbildung

Bachelor’s degree or equivalent

CEA certification

Fair Claims Settlement Practices certification

Tools

MS Office

Jobbeschreibung

Responsibilities

• Investigate, evaluate, and resolve claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
• Adjust reserves and provide reserve recommendations to ensure reserving activities are consistent with company policies.
• Enter claim transactions, in a clear and concise manner.
• Examine claims inspected by independent adjusters, including further investigation of questionable claims, verification of coverage, and timely issuance of payments to policyholders.
• Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders in accordance with Department of Insurance regulations.
• Pay and process claims within designated authority level.
• Supervise independent adjusters to ensure adherence to CFP IA Guidelines.
• Maintain compliance with the Department of Insurance and Company policy and procedures.
• Create correspondence to policyholders that is accurate and complete. Communicate with insureds and/or others involved to secure missing information.
• Promptly negotiate settlements, making sure that the settlement reflects the actual insured losses while ensuring that the insurer is protected from invalid claims.
• Confer with Claims Management and legal counsel on claims involving litigation.
• Requires up to 25% travel, limited to periods of catastrophic events.

Requirements

• Minimum bachelor’s degree or equivalent preferred.
• Excellent oral and written communication skills.
• Working experience with MS-Office (especially Word and Excel) is required.
• 2 + years property claims experience and excellent customer service.
• Certified in CEA and Fair Claims Settlement Practices.