Remote Field Property Claims Specialist

This is a remote/field position in the Akron/Canton, Ohio area.
A Claim Specialist works under minimal supervision, completes investigations, evaluations, and disposition of claims including, but not limited to, moderate to complex cases of property claims, including on occasion litigated files. Estimates losses directly or working with consultants, independent adjusters and other experts to assess building, personal property, business income, heavy equipment, and other damages that can include losses which may range from moderate to large loss levels.
Salary Grade (13) 77,432 - 98,

Essential Duties and Responsibilities

The 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.

• Investigates claims to determine cause, determines scope and amount of loss, verifies coverage and recommends ultimate resolution on assigned cases. Scope of investigation should be proportionate to complexity of claim.
• Ability to accurately and independently interpret policies on all lines of business (Personal, Commercial & Farm).
• Promptly and accurately document all developments in claim file.
• Prepares accurate, clear, thorough, and concise notes or correspondence on conclusions and recommendations.
• Resolves claims within authority or subsequent Home Office approval.
• Identifies potential suspicious claims or possible third-party subrogation.
• Accountable for security of financial processing of claims, as well as security information contained in claims files.
• Ensures accurate reserves and adjusts as warranted. Recommends reserve increases on cases in excess of authority.
• May be necessary to prepare for and may attend trials, settlement conferences, and policyholder meetings. Present company position on coverage and disposition issues.
• Confers directly with policyholders on coverage and resolution issues pursuant to Home Office instructions.
• Analyzes assigned claims and plans for their investigation, may participate in training programs, conferences and departmental and intra-departmental meetings.
• May communicate with excess carriers and reinsures on case status and development.
• Perform onsite and virtual inspection of damages to resolve coverage and damage issues to include preparing complete estimates of repair for the covered damages. May work with contractors, building consultants or independent adjusters in the estimation process, as directed by Home Office.
• Proficient in writing estimates for building repairs.
• Manages claims for business interruption and proactively manages the period of restoration.
• Mentor Claim Representatives and Senior Claim Representatives upon request.
• Maintain continuing education.
• Other critical skills include but are not limited to:
  Assisting Management with designing and implementing strategic organizational goals. Communicates effectively with all levels of customers, vendors and external stakeholders, in addition to peers and various levels of management. Applies critical thinking skills and sound judgment to various claim and business priorities, as assigned.
• Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion while keeping the customer informed throughout the life cycle of the claim process
• Effectively manage fluctuating workload while maintaining focus on claims quality and customer experience
• Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
• Capable of drafting letters and other correspondence with no grammatical, spelling, or coverage errors
• May be required to be on-call, on a limited basis, for after hours emergencies
• Any other duties deemed necessary by 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.

EDUCATION and/or EXPERIENCE

• College Degree or Equivalent Experience
• At Least 3 years of moderate to complex Property loss adjusting experience
• Excellent Interpersonal Skills
• Superior Organizational Skills
• Ability to Demonstrate effective negotiation skills
• Demonstrated abilities using estimating software such as Xactimate
• Experience on a Property team handing field claims
• Previous experience in construction, restoration, or claims

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…