Catastrophe Outside Property Claim Professional Trainee

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Requirements:

• High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.
• Valid driver's license required.

Responsibilities:

• Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position.
• Handles 1st party property claims of moderate severity and complexity as assigned.
• Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
• Investigates and evaluates all relevant facts to determine coverage, damages and liability of first party property damage claims (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 with multiple constituents, i.e.; contractors or insured’s representatives 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 documenting 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.
• May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.