Claim Representative II Remote

Emergent Holdings; United States; Remote; USD 55,000 - 93,000; Full time

Job summary

Emergent Holdings is seeking a Claim Representative II for a remote position. This role involves managing commercial property insurance claims, requiring strong analytical and communication skills. Candidates should have a bachelor's degree and three years of experience in claims handling. The position offers a competitive salary range and opportunities for professional development.

Qualifications

• Bachelor's degree or equivalent experience required.
• Three years of commercial property experience preferred.
• Bilingual skills are preferred.

Responsibilities

• Evaluate commercial property claim coverage and determine damages.
• Conduct thorough investigations to determine cause and extent of damages.
• Maintain an active diary on caseload with a plan of action.

Skills

Effective communication skills

Customer service skills

Negotiation

Attention to detail

Analytical skills

Decision-making

Problem-solving

Education

Bachelor’s degree in a related field

Tools

Company-specific software

Job description

Join to apply for the Claim Representative II Remote role at Emergent Holdings.

Job Description

This is the intermediate level of the claim handler career path. Exercise progressively more discretion in providing prompt, cost-effective, and efficient examination, investigation, and settlement of 1st party commercial property insurance claims for excess and surplus lines and admitted policies. Provide informed coverage analysis and settle claims within authority.

Responsibilities/Tasks

1. Evaluate commercial property claim coverage and determine the scope of damages.
2. Adjust a caseload of assigned files in accordance with company policies and procedures.
3. Conduct prompt, thorough, and fair investigations by obtaining relevant facts and expert input (as appropriate) to determine cause and extent of damages.
4. Assign, direct, and handle property losses through the use of Independent Adjusters and other experts and vendors as appropriate.
5. Maintain an active diary on caseload. Each file requires a plan of action.
6. Adhere to assigned authority limits for reserving and payments (including settlements).
7. Be technically proficient in all aspects of claim handling, gaining necessary knowledge and expertise from previous experience.
8. Proficient in writing position letters (Reservation of Rights and Declination, detailed settlement letters).
9. Have knowledge of local codes, laws, standards, and case law.
10. Provide timely customer service.
11. Identify and thoroughly investigate all possible recovery and subrogation opportunities in the claims, taking necessary steps for recovery if applicable.
12. Ensure claims are handled effectively and cost-efficiently.
13. Determine scope of damages using Xactimate and/or vendor and IA estimates.
14. Utilize experts such as structural engineers, building consultants, cause and origin investigators, and other specialized vendors as appropriate.
15. Establish and maintain positive working relationships through effective communication with internal and external customers.
16. Assist in mentoring team members.

This position description outlines typical responsibilities and tasks. Other relevant functions may be required.

Employment Qualifications

Education or Equivalent Experience: Bachelor’s degree in a related field or relevant combination of education and experience. Continuous learning is required. Certification or progress toward certification is highly encouraged.

Experience: Three years of commercial property experience preferred. Experience handling claims in multiple jurisdictions is a plus. Bilingual skills are preferred. Alternatively, one year of AF Group Claims Representative I experience handling complex claims.

Skills/Knowledge/Abilities:

• Proficiency with computers and company-specific software.
• Effective communication skills.
• Customer service skills.
• Negotiation, consensus-building, and conflict resolution abilities.
• Ability to manage multiple priorities and meet deadlines.
• Attention to detail and analytical skills.
• Ability to work independently and in a team.
• Decision-making and problem-solving skills.

Working Conditions

Primarily in an office setting with minimal travel. Must be able to drive and have a valid license. Specific vision abilities required include close, distance, color vision, and focus adjustment. Frequent handling of documents and communication is expected.

The qualifications listed are minimums for performing the job duties.

Pay range: $55,300 - $92,600, based on various factors including skills, experience, and location.

We are an Equal Opportunity Employer. Diversity is valued. Employment is at will. This does not create a contract.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Finance and Sales
• Industry: Insurance