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Claims Associate job in Sunrise at Heritage Insurance

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Claims Associate at Heritage Insurance

Claims Associate

Heritage Insurance Sunrise, FL Full-Time
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Position Summary:

Investigates, evaluates, reserves, negotiates and resolves claims on losses of lesser value and complexity, in accordance with Best Practices.  Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition.  Consistently provides superior customer service to meet the needs of the insured, agent and staff. 

 

Responsibilities:

  • Handles property claims of moderate complexity as assigned.
  • Provides voice to voice contact within 24 hours of first report.
  • Investigates and evaluates all relevant facts to determine cause of loss and coverage.
  • Provides timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each claim.
  • Collects data and information by interviewing appropriate parties to determine the extent of the liability, the damages and contribution potential associated with the claim and secure written or recorded statements.
  • Maintains the electronic claim file properly documented with accurate, clear and timely information and reports that reflect the adjustment activities and substantiates any payments made.
  • Identifies resources for specific activities required to properly investigate claims such as, Engineers, O&C, SIU and Subrogation.
  • Maintains an active diary. Monitors diary to achieve timely development of files and timely disposition of claims.
  • Evaluates liability and damage exposures and establish proper indemnity and expense reserves.
  • Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Take necessary statements.
  • Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.
  • Negotiates disposition of claims with insured’s and claimants or their legal representatives. Recognize and implement alternate means of resolution.
  • Protects organization's value by keeping information confidential.
  • Maintains compliance with Claim Department's Best Practices.
  • Provides quality customer service and ensures file quality
  • Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs.
  • Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner.
  • Participates in special projects as assigned.
  • Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures.

Job Requirements:

Qualifications:

  • Associate’s Degree required; Bachelor’s Degree preferred.  A combination of education and significant directly related experience may be considered in lieu of degree.
  • Must have a 620 license
  • Ability to empathize with, actively listen to, and deal sensitively and professionally with customers, many of whom are experiencing the stress of a claim situation.
  • Proficiency with Microsoft Office products required; internet research tools preferred.
  • Demonstrated customer service focus / superior customer service skills.
  • Excellent communication skills and ability to interact on a professional level with internal and external personnel
  • Results driven with strong problem solving and analytical skills.
  • Ability to work independently in a fast paced environment; meets deadlines, and manages changing priorities effectively.
  • Detail-oriented and exceptionally organized
  • Collaborative partner; ability to contribute to a positive work environment.
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Job Snapshot

Employee Type

Full-Time

Location

Sunrise, FL

Job Type

Insurance

Experience

Not Specified

Date Posted

01/04/2023
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