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Field claims rep - California

Company: National General Insurance
Location: Fresno
Posted on: January 12, 2022

Job Description:

Primary Purpose: Responsible for confirming coverage, investigating, negotiating, setting reserves and settling covered claims of moderate exposure within their personal settlement authority. Perform duties in accordance with the Claim Handling Guidelines and managerial direction. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Provide the best possible claim service to both internal and external customersPromote teamwork and proactively seek opportunities to assist fellow associates with common challenges, i.e. systems use, file quality, etc.Perform thorough investigation, confirm and interpret coverage issues and draft the appropriate reservation of rights or disclaimer letters as needed for manager approval; refer files to SIU when qualifying issues ariseComplete an inspection of the property damage including completion of a Xactimate Report packageSolicit estimates and photographs on smaller losses utilizing MyClaimPics to desk adjust claimsRetain cause and origin experts, engineers, building consultants and any other necessary experts as warranted with manager approval; obtain police, fire, weather reports, etc., as neededResponsible for proper and timely reserving in accordance with our reserving philosophyUpdate the claim database system with proper and adequate coding and documentationUtilize and maintain diary on all open claimsReview all bills, estimates and Proofs of Loss prior to making settlement and payment of claimMake recommendations to manager on damages exceeding adjuster's authorityReview vendors' bills for accuracy and resolve any billing issues or inconsistencies with the vendorDetermine subrogation/salvage potential on all claims; refer claim to subrogation when warrantedHandle or oversee CAT claims as necessaryRequired Skills and Competencies: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bachelor's Degree or in-lieu of degree equivalent education, training and work-related experienceObtain/Maintain appropriate licensing or educational requirementsPossess solid knowledge of Homeowners policies, endorsements and state/local regulationsAbility to analyze and apply coverage on small to medium loss scenariosAbility to operate with a proactive claim handling mind set to drive resultsAbility to resolve conflicts, problem solve and empathize with customers, both internally and externallyAbility to successfully work in a fast paced environmentProficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)Proficient in estimate writing softwarePossess professional oral and written communication skillsDesired Skills: 2+ years of experience in Property claimsProficient in writing and reviewing scope of damages and estimates#LI-EA1

Keywords: National General Insurance, Fresno , Field claims rep - California, Other , Fresno, California

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