Primary Purpose
Investigate insurance claims; obtain all necessary information to evaluate claims and expedite settlement.
Eligibility
Candidate must reside in one of the following counties: Kingfisher, Logan, Canadian, Oklahoma, Grady, Cleveland, or McClain County. This is not a remote position.
Pay & Benefits
Pay: $50,000 + Company Vehicle. Full time. Benefits Available.
Essential Duties and Responsibilities
- Investigate all lines insurance claims within assigned territory and limits of authority; responsible for the accurate and efficient completion of all phases of claims processing from inception to settlement.
- Investigate personally and/or in conjunction with Specialist major losses, complex liability/fire damage claims, catastrophe, multiple bodily injury claims and litigation cases.
- Obtain loss reports, insured/witness/claimant statements, medical/police reports, appraisals, repair estimates, etc., via telephone, correspondence or personal visit; take photos as required.
- Confirm coverage for new claims and set reserve amounts; follow up on necessary information; record diaries for scheduled review of files; issue payment and correspondence as needed.
- Analyze accumulated data, reports, photos, etc. and evaluate claims; determine coverage and extent of loss/liability; prepare corresponding claims summaries.
- Settle claim within limits of authority; issue drafts/checks for claim payment and obtain required liability releases upon settlement; close claims files.
- Confer with District Claims Manager regarding complex claims or when potential exposure exceeds settlement authority.
- Periodically review all open claims files assigned to adjuster, obtain any necessary information and adjusting reserve amounts as needed.
- Travel to county offices as needed; serve on storm teams to assist with any other catastrophe losses as required.
- Maintain company car in serviceable condition; prepare/submit weekly expense account.
Competencies
- Analytical: Synthesize complex or diverse information; collect and research data; use intuition and experience to complement data.
- Customer Service: Manage difficult or emotional customer situations; respond promptly to customer needs; meet commitments.
- Interpersonal Skills: Maintain confidentiality; keep emotions under control.
- Oral Communication: Speak clearly and persuasively in positive or negative situations; listen and obtain clarification; respond to questions; demonstrate group presentation skills; participate in meetings.
- Written Communication: Write clearly and informatively; edit work for spelling and grammar; change writing style to meet needs; present numerical data effectively.
- Business Acumen: Understand business implications of decisions; display orientation to profitability.
- Ethics: Treat people with respect; keep commitments; inspire trust of others; work ethically and with integrity; uphold organizational values.
- Organizational Support: Follow policies and procedures; support organization’s goals and values.
- Judgment: Display willingness to make decisions; exhibit sound and accurate judgment; support and explain reasoning for decisions; include appropriate people in decision-making process; make timely decisions.
- Planning/Organization: Prioritize and plan work activities; use time efficiently.
- Professionalism: Approach others in a tactful manner; react well under pressure; accept responsibility for own actions.
- Quality: Demonstrate accuracy and thoroughness; look for ways to improve and promote quality; monitor own work to ensure quality.
- Quantity: Meet productivity standards; complete work in a timely manner; work quickly and accurately.
- Safety and Security: Observe safety and security procedures.
- Adaptability: Adapt to changes in the work environment; deal with frequent changes, delays, or unexpected events.
- Attendance/Punctuality: Be consistently at work and on time; ensure work responsibilities are covered when absent; arrive at meetings and appointments on time.
- Dependability: Follow instructions, respond to management direction; commit to long hours of work when necessary to reach goals.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Education and/or Experience: Bachelor’s degree from a four‑year college or university, and/or two to four years related experience and/or training or an equivalent combination of education and experience.
Required Skills and Knowledge:
- Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations, insurance policies and contracts. Ability to write reports and business correspondence. Ability to present information and respond to common inquiries from managers, supervisors, company departments, insureds, third parties, witnesses, doctors, attorneys, agents, county offices, and other insurance companies.
- Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
- Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
- Computer Skills: Knowledge of computers and computer systems.
- Certificates, Licenses, Registrations: Valid driver’s license (Oklahoma) and satisfactory driving record. Current Oklahoma adjuster license or ability to obtain a valid Oklahoma adjuster license.
- Other Skills and Abilities: Investigative skills and ability to work with people and solve problems; manage stress due to high volumes of work, long hours, and dealing with discontented insureds and/or third parties; maintain regular attendance.
- Other Qualifications: Work unscheduled hours and some travel.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Required to stand, walk, sit, use hands to finger, handle or feel, reach with hands and arms, and talk or hear.
- Frequently required to climb or balance and stoop, kneel, crouch or crawl.
- Adequate vision: close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
- Need to regularly lift and/or move assigned equipment with a minimum of 25 pounds.
- Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Work Environment
This position is not remote. The employee is frequently exposed to outside weather conditions; occasionally exposed to wet and/or humid conditions, moving mechanical parts, high and precarious places, fumes and airborne particles, extreme cold, extreme heat, and risk of electrical shock. The noise level is usually moderate.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Equal Opportunity Employer
Oklahoma Farm Bureau & Affiliated Companies does not discriminate on the basis of race, color, religion, national origin, sex, age or disability. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job‑related factors.