Heritage Insurance · 4 months ago
Commercial Claims Examiner
Tampa, FL , Tampa, FL, US
Full-time
Onsite
Entry, Mid Level
1+ years expHeritage Insurance is a provider of insurance solutions, and they are seeking a Commercial Claims Examiner to manage and settle assigned commercial claims. The role involves investigating claims, providing quality customer service, and ensuring compliance with best practices in claims handling.
Insurance
Responsibilities
Provides voice to voice contact within 24 hours of first report
Conducts timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel
Investigates each commercial claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Records necessary statements
Identifies resources for specific activities required to properly investigate claims such as Subro, Fire or Fraud investigators and to other experts. Requests through Unit Manager and coordinates the results of their efforts and findings
Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation
Maintains effective diary management system to ensure that all claims are handled timely. Evaluates liability and damages exposure, and establishes proper indemnity and expense reserves, at required time intervals
Utilizes evaluation documentation tools in accordance with department guidelines
Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority
Negotiate disposition of claims with insured’s and claimants or their legal representatives. Recognizes and implements alternate means of resolution
Maintains and document claim file activities in accordance with established procedures
Attends depositions and mediations and all other legal proceedings, as needed
Protects organization's value by keeping information confidential
Maintains compliance with Claim Department's Best Practices
Provides quality customer service and ensures file quality
Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs
Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner
Participates in special projects as assigned
Some overnight travel maybe required
Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures
Qualification
Required
Associate's Degree required
620 Licensure required
Property and casualty segment experience required
Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions
Demonstrated customer service focus / superior customer service skills
Excellent communication skills and ability to interact on a professional level with internal and external personnel
Results driven with strong problem solving and analytical skills
Ability to work independently in a fast paced environment; meets deadlines, and manages changing priorities effectively
Detail-oriented and exceptionally organized
Collaborative partner; ability to contribute to a positive work environment
Preferred
Bachelor's Degree preferred
One to three years of commercial claims experience preferred
Experience with Xactware products preferred
Proficiency with Microsoft Office products preferred
Internet research tools preferred
Company
Heritage Insurance
We are a super-regional property and casualty insurance holding company that primarily provides personal and commercial residential insurance products across our multi-state footprint.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
$25M2023-12-15Post Ipo Equity· $25M
2014-05-23IPO
Leadership Team
E
Ernie Garateix
Chief Executive Officer
S
Sharon Binnun
Chief Accounting Officer
Recent News
2025-12-05
2025-11-15
Company data provided by crunchbase