Outside Claims Representative

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Conduct investigations on commercial property claims in the field, typically involving moderate to high complexity and loss exposure ranging from $20,000 to $250,000.

• Examine loss sites and engage experts when necessary.

• Analyze coverages, ascertain liability and compensability, and interpret and communicate coverage details and denials.

• Create estimates, diagrams, inspection reports, and upload photographs in accordance with company protocols and guidelines.

• Establish activities and reserves, authorize payments within designated authority, and ensure the timely issuance of disbursements while managing loss costs and expenses.

• Coordinate investigations and assess claims and lawsuits through communication with insured parties, claimants, business partners, witnesses, and experts.

• Pursue early resolution opportunities and negotiate intricate settlement packages.

• Collaborate with attorneys, account representatives, agents, underwriters, and insureds to formulate strategies for prompt and cost-effective resolutions.

• Identify potential recovery and fraud risks and work alongside subrogation, salvage, Recovery, and Special Investigations Units (SIU).

• Accurately document claim circumstances and other pertinent business information.

• Offer guidance and support to other claims personnel and functional areas.

• Stay informed on state and territory regulations, industry trends, and relevant issues.

• Report directly to a Manager or Director.

⛳️ Requirements

• Bachelor's degree or equivalent experience is required.

• Typically requires a minimum of three to five years of claims experience.

• Strong understanding of claims and insurance industry theories and practices.

• Proven technical expertise and product-specific knowledge.

• Excellent interpersonal, communication, and negotiation abilities.

• Capability to work independently, manage time and resources effectively, handle multiple tasks, and meet deadlines.

• Strong analytical and problem-solving skills.

• Ability to exercise independent judgment and make critical business decisions.

• Proficient in Microsoft Office Suite and other business-related software.

• Adaptability to change and appreciation for diverse opinions and ideas.

• Capacity to manage claims with a proactive long-term perspective on business goals and objectives.

• Must be willing to travel to loss sites and conduct field inspections 50-75% of the time.

• Must be prepared to travel to other offices and locations and be available for catastrophe deployment, including short-notice travel and periods exceeding two consecutive weeks.

• Must possess and maintain a valid driver's license.

• Must be able to acquire and retain the necessary licensing as mandated.

🏝️ Benefits

• Comprehensive and competitive benefits package.

• Benefits that support physical, financial, emotional, and social wellbeing objectives.

• Reasonable accommodations for qualified individuals with disabilities during the recruitment process.