RENFROE® · 5 months ago
Commercial Claims Examiner
United States
Full-time, Contract
Remote
Entry, Mid Level
2+ years expRENFROE® is seeking a Commercial Claims Examiner responsible for approving and settling commercial property claims. The role includes reviewing coverage, determining settlement amounts, communicating with policyholders, and ensuring compliance with legal obligations.
ConsultingHuman ResourcesInformation TechnologyStaffing Agency
Responsibilities
Follows RENFROE and clients’ policies and procedures to handle all assigned commercial property claims
Works with the RENFROE Manager and other adjusters to share knowledge and experience and to gain new skills
When working in a team environment, the Commercial Claims Examiner will interact and collaborate with various claims personnel, including an Executive General Adjuster, General Adjusters, and Commercial Field Adjusters
Assigns task work for commercial property inspections and interacts with field adjusters and estimators to determine the scope of loss
Oversees claims files for assigned claims and updates claims as new information becomes available using the client’s proprietary software
Manages the progression of claims/tasks and claim inventories assigned to them
Contacts and interacts with the policyholder or their representative to obtain documents such as purchase receipts, bills, photographs, or other documents to establish the existence, ownership, and value of the items claimed damaged
Determines coverage and amounts for business income loss, rental value, 'extra expense,' and other applicable coverages
Sets claim reserves following the client’s guidelines
Calculates settlement amounts and, within their settlement authority or after receiving requested authority from the client’s designee, issues settlement checks with supporting claim documentation
Ensures competitive bids are acquired and reconciled when appropriate
Writes closing reports, including recommendations for the pursuit of subrogation or the disposal of salvage
Reviews the claim file to support and draft coverage decision letters
Maintains required jurisdictional adjusting licenses as required by the client and/or RENFROE
Does not handle claims for which they do not have client authorization or for which they are not licensed
Tracks and appropriately documents all work-related time for reporting to the client and/or RENFROE
Participates and communicates in client team meetings to discuss claim handling trends, team production, and any claim handling concerns or changes
Makes suggestions on ways to improve process efficiency
Participates in special projects and completes other duties as assigned
Qualification
Required
Minimum of 2 years of commercial property claims experience
Appropriate licenses, depending on state requirements, and successful completion of required/applicable claims certification training classes
Effective problem resolution and decision-making skills to include analyzing insurance policies and information, demonstrating sound judgment, and utilizing one's own experience and the experience of others
Strong analytical skills and consistent attention to detail
Knowledge of ISO forms, and client commercial policy coverages, procedures, and systems
Communicates clearly and effectively, both verbally and in writing
Strong customer service orientation and good rapport with the insured
Well-organized and hard-working, with the ability to thrive in a fast-paced work environment
Strong interpersonal skills and proven ability to establish good relationships with clients, RENFROE management, employees, and others with whom they interact
Computer skills, including but not limited to practical knowledge of Word and Excel
Preferred
Participation in technical insurance coursework such as CPCU
Experience using various claims processing systems
Company
RENFROE®
RENFROE® provides a full range of catastrophe support services to insurance companies, self-insured corporations and governmental entities during times of disaster.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Austin Renfroe
Chief Executive Officer
Company data provided by crunchbase