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Job Details

Requisition Number 17-0222
Post Date 12/1/2017
Title Claims - Property Claims Specialist
City Habersham, Stevens, & Rabun counties
State GA
Description The employee must be able to organize and prioritize work; must have knowledge of office administration procedures and able to operate most standard office equipment. The employee must pay attention to detail in composing and proofing materials. Must be self-motivated with initiative and ability to make decisions and accept responsibility. Be flexible to respond to unexpected situations that require immediate attention. A high level of confidentiality is to be maintained by the employee.

‘The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel so classified.”

Accountabilities:
- Cycle time
- Severity
- Quality of claims file
- Customer Satisfaction level
- Professional development of self

Employee promotion, development, growth, and advancement is based on but not limited to job performance at the current level along with the ability and capacity to undertake additional responsibilities.

DESCRIPTION OF ESSENTIAL DUTIES:

The Property Claims Specialist (PCS) is independently responsible for investigating property claims (Mobile Home, Farm, Home Owners, Commercial, Church, Personal Property, Flood, and PD only Liability, on both optimum and legacy policies) with a primary focus on large* and complex* losses. Determining coverage, completing evaluation of damages, directing Field Adjusters for referral assists and guidance, and concluding claims with payment or denial according to the applicable policy language will be required. The PCS Representative is expected to provide prompt initial contact, timely follow up, and resolution in the handling of claims by completing investigation and documentation of claims as guided by departmental Best Practices. The PCS Representative must also assure high customer satisfaction levels through professionalism, integrity, fairness, and promptness while also maintaining satisfactory levels of productivity in key objectives such as cycle time, severity, and customer service. Continuing to develop their job skills through training will be an ongoing and more extensive process than the other field claims property positions. The PCS Representative will also be charged with acting as a mentor to other claims representatives as needed, providing expertise and direction on larger or complex claims retained by the other claims representative, providing assistance per home office request for files being handled by litigation, casualty, and liability, and as needed assisting with or performing claim review functions. The PCS will also work more often with other interdepartmental entities (SIU, subrogation, litigation) by association of the larger and complex claims.
• “Large” claims are defined in part by potential exposure and/or expected losses to be in excess of a designated dollar amount by the PCS Supervisor. The current soft threshold is $60,000 on any structure, or $50,000 on any PD liability claim. A “large” claim could also involve claims with class action potential, high profile claims, and other claims with potentially “large” exposures.
• “Complex” claims are defined in part by the time, expertise, investigation, involvement and coordination of experts and management, confidentiality, coordination with other departments, etc that is required/expected/necessary. Examples of complex claims are often, but not limited to: claims involving public adjustors and/or attorneys; claims involving bankruptcy issues; claims involving insurable interest issues; claims involving foreclosures; claims involving specialty construction issues; claims involving application issues; claims involving fatalities; claims involving the appraisal clause; claims involving significant mold; claims involving Chinese drywall; claims involving large PD liability and damage issues; claims involving flood;

Evaluate, handle and adjust assigned claims from Members and other Claimants. Ensure high customer satisfaction levels through professionalism, integrity, fairness and promptness. Assist Property Claims Supervisor and Field Claims Supervisors with development of other Claims Reps including workload management and problem solving. Maintain satisfactory levels of productivity / claims handling cycle time. Continue job skill development through training. The employee may assist other key Claims units in times of need.

EOE M/F/D/V AA
Requirements Education requirements:
College degree or equal claims adjusting experience; 5 years experience required. A strong mix of property claims experience and/or similar construction background experience is required. AIC, SCLA, and/or CPCU and other insurance related designations are preferred, along with experience with large losses, investigative skills, and Xactimate estimating system experience.


Language Skills:
Must be able to read, analyze and interpret procedures, regulations, instructions, manuals and other documents as required. Excellent telephone, public relations and oral/written communication skills are required.

Reasoning Skills:
Must be able to solve practical problems and deal with a variety of concrete variables. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.

Computer Skills:
Must possess basic skills with personal computer; experience with Windows, word processing and internet. Experience with property estimating systems, preferably Xactimate, required.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

While performing the duties of this job, the employee is required to occasionally operate in a normal office environment with occasional travel necessary to visit office locations, conduct investigations, attends conferences/training classes and meetings. Extensive travel by automobile within assigned territory with some periods of normal office environment is required. The employee is required to sit, use hands to finger, handle controls and talk and hear. The employee frequently is required to reach with hands and arms. The employee is occasionally required to stoop, lift and move up to 30 pounds. Ability to maneuver ladders and inspect homes/property as is necessary to properly assess damages. Specific vision requirements by this job include close vision. Must maintain a valid Georgia drivers license.
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