Claims Adjuster Rep (Remote)

The Carlisle Group has been retained to find a Field Property Claims Representative in the southwestern territory of Ohio (Columbus, Dayton, and Cincinnati areas). Our client is a mutual insurance company that was founded in 1901. The company has had an AM Best “A” rating for 31 consecutive years and has been on the prestigious Ward’s Top 50 list nine times. This role is a work-from-home, in the field, property claims opportunity with quarterly meetings at the headquarters in Bucyrus, OH.

Summary

Works independently in a flexible and fast-paced environment in the field and virtually to investigate, evaluate, negotiate, and resolve claims for our members and customers. Complies with company procedures and Fair Claims Practices of each state.

Essential Functions

• Conducts investigations of property claims; documents claim activity and supports proper claim resolution.
• Executes prompt and accurate recording of facts in claim files; demonstrates a proactive pursuit of information relevant to the insurance claim in addition to timely and professional communication (verbal and written) with customers regarding their claims.
• Conducts an analysis of loss information and accurate application of policy terms in addition to an independent review of application coverage forms and endorsements to support fair and accurate claim resolutions.
• Promptly contacts involved parties to gather initial information; subsequently coordinates onsite appointments or utilizes technology to identify cause of loss and scope of repair.
• Determines and negotiates settlement amounts, according to the policy terms. Supports all loss and expense payments with proper documentation, in compliance with authority and check security procedures.
• Implements proactive and meaningful methods to progress claim resolution; maintains an active diary to efficiently review pending files, communicates with involved parties, and conducts an appropriate evaluation of Loss Reserves.
• Keeps apprised of industry trends, related changes in the law, and continuously develops skills relevant to all aspects of Property Claims.
• Delivers exceptional customer service throughout the duration of a claim. At times, this may include After Hour escalated emergencies and storm response.
• Maintains pro-active agency relations in assigned territory with visits and communication.

Marginal Functions

• Utilizes data, technology, and analytics to support appropriate recommendations.
• Completes expense reports monthly.
• Attends periodic meetings at home office and virtual meetings.
• Assists in resolving losses in other territories as needed.
• Periodically handles a large volume of claims during storm events.
• Performs inspections and tasks for other Units and Departments as requested.
• Works from home; maintains an office at private residence.

Minimum Qualifications

• College degree or equivalent work experience.
• 3+ years of field property claims and estimating experience.
• Experience with Xactimate claims software.
• Knowledge of legal and industry terminology.
• Knowledge of state and federal laws that affect claims.
• Exceptional verbal and written communication skills to provide customers with a clear explanation of the claim summary.
• Strong math aptitude.
• High level of independent decision-making and reasoning skills.
• Strong interpersonal skills for working with other associates, agents, members, various federal or state agencies, and numerous other outside contacts.
• Ability to manage time effectively and work independently with little supervision.
• Effective daily use of various office products, software, technology, and business equipment, including computer, camera, recorder, Excel, Outlook, Word, and various mobile apps.
• Ability to write property estimates.
• Valid and active driver’s license.
• Active in insurance-related studies such as AIC, SCLA, CPCU, etc.
• Excellent investigation skills.

Working Conditions

• Subject to adverse weather conditions and odors occasionally.
• Sitting in vehicle and standing in the field regularly.
• Physical activities related to interior and exterior building inspections, including walking,
• Climbing stairs and working in a variety of climates and conditions.
• Occasionally working in awkward positions, such as stooping and bending.
• Lifting and carrying weights up to 25 pounds.
• Potential to work evenings and weekends, depending on workload and customer need.
• Stress associated with meeting deadlines, difficult situations, and working with irate individuals.