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Sr Claims Rep - Property

Winick Realty Group
Wooster, OH Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 4/10/2025

This position is responsible for the investigation, adjustment and resolution of assigned claims. The Claim Representative will be required to manage a caseload of minor to moderate type property losses in accordance with Company standards and IC 27-4-1 / ORC 3901-1-54.

Salary Grade (10) 58,321 - 72,900 - 87,481

Candidates must reside in Ohio or Indiana.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Initiate prompt and effective communication with all parties having legal or contractual interest in claim presented.

Conduct a prompt and accurate investigation of all losses assigned. Scope of investigation should be proportionate to complexity of claim.

Conducts a thorough investigation to determine whether coverage exists.

Negotiates timely and appropriate settlements within designated authority level.

Manages assigned claims through prompt and accurate file documentation.

Effectively communicates with insured about coverage or any coverage issues.

Draft correspondence, coverage letters, and settlement letters to insureds.

Effectively manages a fluctuating workload.

Recognize and pursue potential subrogation.

Effectively manage the use of outside vendors.

Adhere to the "Unfair Claims Practices Act" and other statutory requirements.

Any other duties deemed necessary by your supervisor or management.

SUPERVISORY RESPONSIBILITIES

None

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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.

MINIMUM REQUIREMENTS

College Degree or Equivalent Experience

Excellent Interpersonal Skills

Superior Organizational Skills

Efficient Time Management Skills

1 year property claims adjusting experience or 2 years relevant claims adjusting experience

Proficient knowledge of property claims

Demonstrated negotiation, investigation, communication and conflict resolution skills.

Ability to demonstrate effective negotiation skills and handle conflict

PREFERRED EXPERIENCE

Demonstrated ability using estimating software

Experience using a claims management system, such as Guidewire

Previous construction or restoration experience

Industry designations such as CPCU, AIC, PCLS

LANGUAGE SKILLS

Excellent verbal and written communication skills. The individual must be able to effectively and clearly communicate with agents, insureds, departmental and company personnel via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a professional manner.

REASONING ABILITY

The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Employees are required to sit at a workstation to perform various PC functions. Additionally, the employee is required to devote substantial time to telephone and written communication.

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms.

Employees may be required to travel from time to time. This may require extended periods of time sitting in a vehicle.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Claim Representative is responsible for the proper handling of claims. Each Claim Representative will be assigned a specific work cubicle station and or other individual work areas. The workstation will be located adjacent to other similar workstations. The workstation has the necessary equipment to perform the position duties including personal computer, telephone, file space, and needed work table space.

The environment is reasonably quiet with needed interaction between other team members, immediate supervisor, and other company staff. Moderate noise level from telephone calls is expected.

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