Full Time

Other

No

Experience in the investigation, evaluation and settlement of claims to include: 4. Homeowner property claims Experience to include: 5. Evaluating construction repairs for quality and compliance with repair estimates Investigation experience to include: 6. Securing and evaluating evidence 7. Determining the existence of possible criminal actions 8. Assisting in the preparation of court proceedings

1. Successful completion of basic claim representative training program or equivalent or ability to obtain within 9 months. 2. Candidates must be eligible to acquire and maintain a state adjuster's license for appropriate state(s). 3. Experience as a claim representative, a public or private investigator, or equivalent or a minimum of one year experience as a claim associate within identified area (e.g. casualty, auto physical damage, homeowners). Applicants selected from the claim associate candidate pool must successfully complete all training required within nine (9) months of hire.

Description: Independently performs detailed and highly complex claim functions both at the office and at off-site locations. Reviews files, obtains coverage information and contacts insured to discuss claim process, provide emergency funds, etc. Explains laws/regulations regarding home or vehicle repair. Performs physical damage inspections as required. Arranges for vehicle/home inspections, alternate transportation/living expenses, etc. Inspects property and prepares estimate or works with direct repair facilities to obtain necessary information. Analyzes damage and determines whether to repair or replace damaged parts. Recommends usage of aftermarket parts for non-safety related items. Determines value of vehicle in order to settle claim. Obtains necessary medical, accident, legal and police reports to complete files. Works with insured to select contractor as needed. Arranges for repair or cleaning of salvageable items. Ensures the sale of salvage to reduce claim costs. Travels to auto salvage yard and inspects vehicles. Attends vehicle auctions on a rotating basis. Notifies insured of total loss and advises regarding procedures. Authorizes repairs and updates claim diary. Reviews the status of open and closed reserves and makes adjustments consistent with exposures. Authorizes checks within authority level. May conduct audits of direct repair facility inspections to ensure accuracy of estimates and adherence to corporate procedures. Reviews files for potential subrogation and completes subrogation forms. Assists in the recovery of corporate claim expenditures from insureds/applicants, uninsured motorists, businesses, other insurers, etc. In accordance with established procedures. May represent company at trials, depositions and settlement hearings. Assists less experienced claim representatives with claims that are more complicated and complex. Assumes responsibility for complex files that were previously assigned to other claim representative(s) and/or technical support staff members. Communicates with direct repair shops (drs) in order to provide/update claim information. Conducts re-inspections as necessary to investigate and evaluate drs requests for additional repairs, and to evaluate the quality of service provided. Participates in branch settlement support council meetings and visits assigned branches and legal department to assist in structured settlement utilization as necessary. Provides after-hour coverage to process claims on a rotating basis. Required: 1. Successful completion of basic claim representative training program or equivalent or ability to obtain within 9 months. 2. Candidates must be eligible to acquire and maintain a state adjuster's license for appropriate state(s). 3. Experience as a claim representative, a public or private investigator, or equivalent or a minimum of one year experience as a claim associate within identified area (e.g. casualty, auto physical damage, homeowners). Applicants selected from the claim associate candidate pool must successfully complete all training required within nine (9) months of hire. Experience in the investigation, evaluation and settlement of claims to include: 4. Homeowner property claims Experience to include: 5. Evaluating construction repairs for quality and compliance with repair estimates Investigation experience to include: 6. Securing and evaluating evidence 7. Determining the existence of possible criminal actions 8. Assisting in the preparation of court proceedings Knowledge to include: 9. Negligence law 10. Tort law 11. Essential insurance act 12. The fair trade practices act as they relate to claims 13. Building construction and repair techniques 14. Criminal law 15. Court procedures Demonstrated skill in: 16. Organization and planning 17. Analyzing and problem solving 18. Written communications to include record keeping and report preparation Ability to: 19. Use automated processing and computer systems, including basic pc software skills 20. Effectively respond to questions/concerns 21. Communicate effectively with others in a work environment, with the public, law enforcement personnel and vendors 22. Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. 23. Develop and conduct training programs on fraud detection in all lines of coverage 24. Provide technical expertise to claims department on suspected insurance fraud 25. Independently perform detailed and highly complex injury claim negotiations 26. Willingness to travel outside of assigned territory which may involve overnight stay. 27. Willingness to relocate, work evenings or saturdays. 28. Valid state driver's license. Preferred: 29. Successful completion a comprehensive training program to include automobile damage estimating, electronic estimating, automobile repair training, and automobile policy composition and analysis. Experience in: 30. Accurately writing manual and electronic estimates 31. Developing and conducting training programs on auto physical damage processes Knowledge of: 32. Negligence, tort and criminal law 33. Insurance regulations and salvage acts 34. Multiple state legislative environments 35. Interstate commerce 36. Salvage disposal operation 37. Automobile title laws 38. Indicators of fraudulent activities 39. Industry claim handling procedures related to general and auto physical damage claims 40. Automobile nomenclature, construction and repair methods and techniques 41. Claim quality service standards as they pertain to auto physical damage 42. Successful completion of basic claim representative training program to include no fault law, car policy, injury claim handling, medical terminology and interpreting medical reports Experience in: 43. Interpreting medical reports to determine extent of injuries and exposure 44. Researching, analyzing and computing complex work loss and survivors loss claims 45. Evaluating liability claims based on damages and negligence to determine exposure 46. Overseeing litigated claims to conclusion 47. Presenting effective and persuasive testimony in civil and criminal litigation as needed Knowledge of: 48. Industry claim handling procedures related to general injury/liability claims 49. Claim quality service standards as they pertain to injury/liability claims 50. Human anatomy and medical terminology 51. Catastrophic and complex injury claims 52. Indicators of fraudulent claim activity 53. Wisconsin builders license. 54. Proficiency in xactimate 27 homeowner estimating software. Experience to include: 55. Analyzing and problem solving 56. Organization and planning 57. Decision making 58. Investigating, evaluating and settling homeowners claims including accurately preparing construction damage estimates 59. Inspecting and evaluating construction repairs for quality and compliance with repair estimates 60. Basic pc software skills (word, excel etc.) Ability to: 61. Lift up to 25 pounds 62. Climb ladders

Description:

Independently performs detailed and highly complex claim functions both at the office and at off-site locations. Reviews files, obtains coverage information and contacts insured to discuss claim process, provide emergency funds, etc. Explains laws/regulations regarding home or vehicle repair. Performs physical damage inspections as required. Arranges for vehicle/home inspections, alternate transportation/living expenses, etc. Inspects property and prepares estimate or works with direct repair facilities to obtain necessary information. Analyzes damage and determines whether to repair or replace damaged parts. Recommends usage of aftermarket parts for non-safety related items. Determines value of vehicle in order to settle claim. Obtains necessary medical, accident, legal and police reports to complete files. Works with insured to select contractor as needed. Arranges for repair or cleaning of salvageable items. Ensures the sale of salvage to reduce claim costs. Travels to auto salvage yard and inspects vehicles. Attends vehicle auctions on a rotating basis. Notifies insured of total loss and advises regarding procedures. Authorizes repairs and updates claim diary. Reviews the status of open and closed reserves and makes adjustments consistent with exposures. Authorizes checks within authority level. May conduct audits of direct repair facility inspections to ensure accuracy of estimates and adherence to corporate procedures. Reviews files for potential subrogation and completes subrogation forms. Assists in the recovery of corporate claim expenditures from insureds/applicants, uninsured motorists, businesses, other insurers, etc. In accordance with established procedures. May represent company at trials, depositions and settlement hearings. Assists less experienced claim representatives with claims that are more complicated and complex. Assumes responsibility for complex files that were previously assigned to other claim representative(s) and/or technical support staff members. Communicates with direct repair shops (drs) in order to provide/update claim information. Conducts re-inspections as necessary to investigate and evaluate drs requests for additional repairs, and to evaluate the quality of service provided. Participates in branch settlement support council meetings and visits assigned branches and legal department to assist in structured settlement utilization as necessary. Provides after-hour coverage to process claims on a rotating basis.