Westfield Insurance ยท 2 days ago
Casualty Claims Senior Representative
United States
Full-time
Remote
Mid, Senior Level
4+ years expWestfield Insurance is a global leader in property and casualty insurance, delivering superior risk insights and innovative solutions. The Claims Senior Representative serves as a technical expert on claims adjusting, handling various claims and mentoring less experienced Adjusters while ensuring quality customer service in a high-volume environment.
Insurance
No H1B
Responsibilities
Determines whether proper coverage exists for the type of claim assigned
Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution
Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker
Determines the value of the physical damage of property, automobiles, or injuries through appropriate tools, recognizes claim file exposures and escalates appropriately
Provides support in negotiation of settlements with insureds, claimants, vendors, attorneys, and other insurance companies
Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets
Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards
Supports to review proper reserves for each claim based upon thorough investigation, evaluation, and experience
Identifies and refers all claims to management for further handling and assignment instructions
Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations
Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing
Requests additional information from an agent, identifies the need for referral to the field based on underwriting guidelines
Maintains effective and ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel
Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation
Interprets complex and detailed documents such as contracts, legal documents, medical reports, insurance regulations and policies as needed
Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices
Qualification
Required
4+ years of Claims Handling experience
Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience
For field roles only: Valid driver's license and a driving record that conforms to company standards
Preferred
Certified Professional Claims Management (CPCM)
Company
Westfield Insurance
Founded in 1848, Westfield is a global leader in property and casualty insurance, delivering superior risk insights and innovative solutions to customers through a diverse portfolio of insurance products.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Joe Kohmann
Chief Financial Officer & Treasurer
Amy Larsh
Executive Assistant to the President, CEO & Board Chair
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