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Outside Property Claim Representative Trainee - Amarillo, TX

Posted 10 days agoViewed

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💎 Seniority level: Entry

📍 Location: United States of America

💸 Salary: 48700.0 - 80400.0 USD per year

🔍 Industry: Claim

🏢 Company: external

🗣️ Languages: English

🪄 Skills: Customer serviceNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationComplianceProblem-solving skillsMS OfficeVerbal communicationActive listeningAbility to learnRisk ManagementComputer skillsAnalytical thinkingCustomer support

Requirements:
  • High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.
  • Valid driver's license - required.
  • Bachelor’s Degree preferred or a minimum of two years of work OR customer service related experience preferred.
Responsibilities:
  • Handles 1st party property claims of moderate severity and complexity as assigned.
  • Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
  • Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies.
  • Establishes timely and accurate claim and expense reserves.
  • Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
  • Negotiates and conveys claim settlements within authority limits.
  • Writes denial letters, Reservation of Rights and other complex correspondence.
  • Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
  • Meets all quality standards and expectations in accordance with the Knowledge Guides.
  • Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
  • Manages file inventory to ensure timely resolution of cases.
  • Handles files in compliance with state regulations, where applicable.
  • Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
  • Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
  • Identifies and refers claims with Major Case Unit exposure to the manager.
  • Performs administrative functions such as expense accounts, time off reporting, etc. as required.
  • Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
  • May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
  • Must secure and maintain company credit card required.
  • In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.
  • In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above.
  • Perform other duties as assigned.
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