Upon receipt, reviews each claim to ensure that all coverage and exposures issues have been identified and investigated.
Recommends additional investigation if warranted and adjusts exposures as needed.
Documents all actions in a timely manner in the claims system within company guidelines for Best Practices.
Contacts insureds and claimants within established corporate guidelines to provide notification of reassignment of the claim and to continue the settlement process.
Handles questions on coverage with a reservation of rights letter and/or non-waiver agreement.
Advises the Underwriting Department of adverse findings regarding insureds and/or coverage.
Conducts investigations independently and at the direction of management utilizing sound investigative procedures to establish liability as quickly as possible.
Must maintain current licenses required in all assigned states.
Must complete required continuing education requirements in assigned states.
Answers correspondence received in conjunction with the claim within company guidelines for Best Practices.
Handles all claims within the guidelines of each applicable state and in conjunction with insurance laws and any other laws applicable to that claim.
Adheres to Fair Claim Practices Acts established within respective states and to company Best Practices.