TPA Residential Desk Adjuster
Overview:
The Desk Adjuster will investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with client guidelines. The adjuster will provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production. Must have property claim handling experience.
Key Responsibilities:
Conducts thorough investigations, as outlined in the claim handling guidelines and best practices
Denies, settles, or authorizes payments to property claims based on coverage, field reports, and verifiable damage
Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc. to gather important information to support the claims; including proofs of loss
Sets proper reserves
Takes recorded statements as needed
Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame
Interpret policy language and evaluate coverage issues of multiple different policies and endorsements
Addresses diaries, emails and voicemails
Prepares technical claim documents and correspondence
Prepares report of findings of an investigation
Contributes to department efforts with an emphasis on team collaboration
Other Duties as assigned
Qualifications:
2-5 years of homeowner claims experience
Guidewire experience strongly preferred
Must hold a valid claims adjusting license
Proficient in working all loss perils
Carrier experience strongly preferred
Proficient in Xactimate and Xactanalysis
Proficient in reconciling supplements
Experience in negotiating settlements
Strong writing skills related to policy interpretation is a must
Decision making skills and the ability to work independently
Familiar with a variety of field concepts, practices and procedures
Good organization and time management skills
Analytical and proactive claim handling skills
Excellent customer service skills
Proficient oral and written communication is a must
Proficient computer & typing skills - working knowledge of MS Office: Word, Excel and Outlook
Ability to speak Spanish a plus
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