Temporary Desk Adjuster

Remote Full-time
Description

At Seibels, we believe our people are our most important asset. They are the driving force behind our mission and the reason we are able to provide best-in-class services to the property and casualty insurance industry. Our culture is founded upon four core values: collaboration, accountability, respect, and transparency. Upholding this culture and embodying it in all that we do is paramount to the organization and its success.

Join our Temporary W-2 Desk Adjuster Team during various storm seasons. Assignments can last variably four to six months. We offer competitive medical benefits to our temporary Team Members that begin the first day of employment! Minimal travel could be required for occasional training and company events.

A Temporary W-2 Desk Adjuster manages a pending caseload from lowest level to the highest severity and complexity property and/or liability homeowner claims in a team environment. Ensures prompt, effective, and courteous handling of all claims to policyholders and claimants. Participates in the after-hours phone program on a rotational basis. Special emphasis is placed on complying with appropriate guidelines. Must be proficient in Xactimate and/or Symbility. Experience in Guidewire ClaimCenter is a plus!
Requirements
• Claim Assignment - Verifies policy information for accuracy to determine if coverage is in force and applicable on new claims. Develops an investigative action plan to include resolution of coverage issues as required.
• Manages Customer Contact: Ensures timely and professional contact is made with insureds, claimants, agents and other parties, to include prompt return of phone calls. Contacts or interviews necessary parties to secure additional information such as public adjusters, attorneys, engineers and other vendors.
• Investigation - Evaluates assigned claims on an ongoing basis and makes recommendations for further task assignments and other information as needed for proactive claim handling and final claim disposition. Interprets policy provisions to approve or deny payments applying technical knowledge to effect fair and prompt claim settlements. Determines when cases need to be elevated to a higher level. Presents information in a thorough manner and participates in their discussion when escalated.
• Reserving - Ensures claims are adequately and timely reserved by adjusting reserves or providing reserve recommendations to ensure that reserve activities are consistent with established guidelines.
• Processing (If applicable)- Reviews new claims, claim payments, reserves on computer system and corrects information as needed by inputting data in a concise, accurate and complete manner. Pays and processes claims within designated authority level. Resolves moderate to highest level of severity claims using high service-oriented file handling techniques as defined by established guidelines.
• Diary and File Review – Maintains current Diary, Workplan, and Activities via the Guidewire Claim System, updating status once reviewed and/or completed. Ensures all Workplan items are current prior to escalation for authority. Creates a Plan of Action “POL” for outstanding activities at diary review. Ensures reports and other documents are attached to the file timely and named appropriately.
• Negotiation and Settlement: Within assigned authority limits, negotiates and settles claims with policyholders, claimants, public adjusters, attorneys, AOB and other vendors.
• Reporting - Prepares large loss reports on complex claims excess office authority for manager review and escalation. Presents cases and participates in their discussion at claim committee meetings.
• Training (If applicable) - Assists as needed in mentoring less experienced examiners. Assists in identifying training needs and aids in the development, administration, and evaluating of training programs.
Education / Experience:
Temporary Claims Examiner I
• 4-year college degree preferred plus 0 to 2 years of property and /or liability (homeowners) claims handling experience, or a comparable combination of education and experience.
• Computer literacy and ability to use applicable software.
• Adjusters license required in the states in which the position handles, including completing the requisite continuing education requirements.
• Insurance certificates, courses, or professional designations a plus.
Temporary Claims Examiner II
• 4-year college degree preferred plus 3 to 4 years of property and /or liability (homeowners) claims handling experience, or a comparable combination of education and experience.
• Adjusters license required in the states in which the position handles, including completing the requisite continuing education requirements.
• Proficient in Microsoft Office Suite.
• Proficient knowledge of Estimating software.
• Demonstrated knowledge of property insurance contracts and the ability to analyze coverage questions.
• Insurance certificates, courses, or professional designations a plus.
• Construction knowledge preferred.
Temporary Senior Claims Examiner
• 4-year college degree preferred plus 5 or more years of property and /or liability (homeowners) claims handling experience, or a comparable combination of education and experience.
• Demonstrated technical expertise in claims management.
• Computer literacy and ability to use applicable software.
• Adjusters license required in the states in which the position handles, including completing the requisite continuing education requirements.
• Insurance certificates, courses, and/or professional designations a plus.
• Knowledge of principles and processes for providing customer service. Demonstrated expertise in customer needs assessment and meeting high standards for service.
• Strong written and oral communication skills with the ability to interact with others, fosters team environment.
• Strong investigative and negotiating skills.
• Effective and timely decision making and ability to prioritize tasks and work with multiple priorities.
• *Click here to join our roster**

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