Senior Claims Representative

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

📋 Description

• Assess whether adequate coverage is available for the claims assigned.

• Conduct comprehensive investigations of claims, examining coverage, legal considerations, potential liabilities, and damages.

• Make determinations regarding claim resolutions and negotiate settlements.

• Achieve set goals and objectives; coordinate salvage disposal and recovery processes.

• Engage in claim file reviews and audits alongside customers and brokers.

• Oversee approved vendors and advisors, including the development of investigation strategies, budgets, payments, and adherence to guidelines.

• Evaluate and support appropriate claim reserves.

• Recognize and refer claims to management or specialists in complex claims.

• Develop recommendations for managing claim files, subsequent transactions, and renewal processes.

• Solicit additional information from agents and identify field referrals in accordance with underwriting standards.

• Maintain ongoing communication with insured parties, claimants, agents, attorneys, insurers, vendors, and internal personnel.

• Prepare reports and gather documentation to support the assessment of claims.

• Interpret contracts, legal documents, insurance regulations, and policies.

• Stay informed about coverage, legal matters, legislation, trends, and industry best practices.

• Adjust claims for first-party homeowners and commercial property.

• Utilize Xactimate for assessing first-party property claims.

• Travel frequently within the designated area, which includes operating a company fleet vehicle and potentially engaging in extended storm-duty travel.

• Provide mentorship to junior adjusters.

⛳️ Requirements

• Minimum of 4 years of experience in Claims Handling.

• Bachelor's degree in Business, Communication, or a related discipline, or equivalent work experience.

• Possession of a valid driver's license and a driving record that meets company criteria.

• Certification as a Professional Claims Management (CPCM) is preferred.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement plan with company match.

• Opportunities for professional development and continuing education.

• Flexible work schedule and remote work options.