Outside Property Claim Representative Trainee - Spokane Valley

View full description

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.