Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Deliver consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going effective communication, follow-through and meeting commitments to achieve optimal outcome on every file. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, apply how jurisdictional issues impact the claim when needed. Manage deductibles and coverage limits. Obtain relevant facts necessary to determine coverage, causation/damages, and exposure with respect to the various vehicle coverage provided. Recognize and refer files that do not meet Keep & Close criteria to appropriate claim professional. Investigate facts to establish negligence, sources of recovery and negotiate resolutions as appropriate. Manage partial theft requiring specialized investigation and where applicable involve internal and external experts. Recognize and request appropriate inspection type based on the details of the loss and coordinate the appraisal process. Maintain oversight of the repair process and ensure appropriate expense handling. Manage file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. Determine settlement amounts based on appraisal estimates, and application of applicable limits and deductibles.
High School Diploma or GED and one year of customer service experience OR Bachelors Degree required.
Internal Number: 23812BR
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