Overview:
Investigates claims, negotiates settlements, and authorizes payments to customers for primarily commercial property losses covered by a Grinnell Mutual policy to reach a fair and equitable settlement. Losses will include a small percentage of homeowners and farm claims. The size of losses will range from routine storm claims to large complex commercial losses. Acts as company representative during the claims process providing service primarily in person but may also utilize phone and/or e-mail.
This job will cover the Western Minnesota / Sioux Falls, South Dakota claims territory, working remotely from your home. Company vehicle is provided.
Responsibilities:
- Provides the highest level of service to all customers who include policy holders, claimants, agents, loss control, underwriting, peers, and in-house telephone claims representatives.
Investigates the facts of assigned property claims to determine coverage, assess damage, and loss of business income, in a timely and efficient manner as outlined in Grinnell Mutual claims procedures.
- Gathers supporting data including loss scope, appraisals, interviews, police reports, and statements related to the claim, utilizing telephone and written correspondence. Visits the claims scene to take photos, measurements, interviews, etc. to gather information and data related to the claim. May include multiple visits or locations.
- Evaluates potential financial risk to the company and sets reserves based on current exposure and application of claims expertise. Updates reserves based on additional data or facts gathered.
Settles claims in a fair and equitable manner based on policy coverages and the information gathered during the investigation, without exceeding individual authority. Consults with manager proactively if settlement has potential to exceed authority limit. Provides recommendations and requests additional authority as appropriate.
Ensures that checks/drafts are issued in a timely manner to assist with efficiently closing claims.
- Maintains a complete and well documented file in order to support the decisions and settlement of the claim.
Serves as a resource to less experienced adjusters.
Performs other duties as assigned.
Qualifications:
- Bachelor's degree from four-year accredited college or university and two or more year’s property claims experience; or equivalent combination of education and experience. AIC or SCLA designation preferred.
- Ability to demonstrate good interpersonal, active listening, and customer service skills to bring claim to a resolution in a timely manner. Includes being familiar with facts, patient, resistant to stress, persistent, empathetic, and decisive.
- Ability to professionally present information and respond to questions in one-on-one or group settings. Communication may be via the telephone, in person, or in written correspondence.
- Ability to think logically and make decisions regarding claim investigation using personal judgment, experience, and known facts and figures while following claims procedures to determine coverages, negligence, and damages.
- Ability to organize work, determine priorities, and meet deadlines while incurring frequent interruptions.
- Ability to read, analyze, interpret, and apply insurance terminology while reading/reviewing contracts, technical procedures, or government regulations that apply to daily work. Maintain up-to-date knowledge of field and industry through review of business periodicals and professional journals.
Ability to calculate figures and amounts such as interest, proportions, and percentages.
- Ability to work harmoniously with teammates and managers. Ability to interact with customers and the general public in a tactful and courteous manner.
- Ability to operate basic office equipment, including computers, utilizing specialized claims applications, Microsoft Office Suite, and Microsoft Outlook .
Ability to maintain a valid driver’s license and travel from the office located in the employee’s home to claims sites or locations related to the claim. Overnight travel is required approximately 20 - 40% of the time depending on territory size and claim load.
Working conditions and physical efforts
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The property large loss claims adjuster works with many types of people while representing Grinnell Mutual.This can be stimulating yet demanding and stressful especially during high volume claims periods and when working with individuals facing a personal loss.
The position is physically located in the employee’s home office. The position requires an individual to drive on a frequent basis and manage territory by scheduling effectively to meet the customers’ needs and allow flexibility for emergency.
- While performing the duties of this job the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms, climb, balance, stoop, kneel, crouch, crawl, talk, hear, and smell.
- The employee must be able to climb a ladder, work on rooftops, and maneuver the ladder as needed. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds.
- Specific vision abilities required by this job include distance vision, peripheral vision, depth perception, and ability to adjust focus.
While performing the duties of this job, the employee frequently works in outside weather conditions. The employee is occasionally exposed to extreme cold and heat.
This job description is not intended to describe, in detail, the multitude of tasks that may be assigned, but rather to give the employee a general sense of the responsibilities and expectations of his/her position. As the nature of the business demands change, so to may the essential functions of this job.
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