Chesapeake, VA
7 hours ago
Auto Claim Examiner

MAJOR DUTIES/RESPONSIBILITIES OF THE JOB: 

They will analyze first reports, contact insured/claimants promptly, and evaluate contract language to identify coverage issues. The specialist will develop and maintain accurate and timely investigation and loss analysis, establish reserves, and recognize and pursue recovery. They will adhere to statutory and regulatory fair claims practices and identify potential fraudulent claims. The specialist will also manage the use, work product, and expenses of outside vendors, and evaluate claim facts. They will serve as a technical resource to lesser experienced adjusters and contribute to the team's goals and objectives.

RESPONSIBILITIES:

Analyze claims related to broken or damaged auto glass, assessing the extent of damage and determining the most appropriate repair or replacement options. Effectively evaluate contract language and identify coverage issues Develop the file to provide accurate and timely investigation and loss analysis. Maintain an active file diary to move the file toward resolution. Establish accurate and timely reserves. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Manage the use, work product, and expenses of outside vendors. Develop and maintain strong business relationships with internal and external customers. Contribute to the development and delivery of the team's goals, objectives, and results. Support workload surges and/or Catastrophe Operations as needed, including working overtime during designated CATs.

  

KNOWLEDGE, SKILLS & ABILITIES:

Full knowledge of insurance contracts, investigation techniques, legal requirements, and insurance regulationsAbility to work effectively in teams and with a wide variety of people.Aptitude for evaluating, analyzing, and interpreting information.Excellent skills in customer service, investigation techniques, organization, time management, multitasking, verbal and written communication, and reservingInnovative thinkingAbility to remain calm and composed under pressure while handling customer inquiries and resolving issues.If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.

Excellent skills in the areas of:

Customer serviceInvestigation techniquesOrganizationTime management and the ability to multi-taskVerbal and written communicationInnovative thinking
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