SENIOR CLAIMS EXAMINER
Location: Metairie, Louisiana
Description: Louisiana Citizens Property Insurance Corporation is employing SENIOR CLAIMS EXAMINER right now, this position will be ordered in Louisiana. Detailed specification about this position opportunity please give attention to these descriptions. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. While no Job Description can possibly include a! ll duties that may be requested by customers or required by the Company, the following is a summary of the primary responsibilities of the position.
POSITION SUMMARY
The Senior Claims Examiner is r esponsible for handling cases of moderate to high complexity and/or exposure. Evaluate and settle claims within designated authority and may direct the investigation and claims settlement activities of Field Adjusters and vendors. Evaluate and settle first party and third party personal lines and commercial lines claims by telephone, personal contact or correspondence. Examine assigned claim files, insurance policies and other documents to determine coverage applicable to a loss. Pay claims within designated authority.
PRIMARY RESPONSIBILITIES
Review, investigate, confirm coverage, evaluate liability, establish damages, and negotiate settlement of first and third party property and casualty insurance claims.
Relies on experience and ju! dgment to perform assigned tasks.
Effectively collabo! rate and communicate with insured’s, claimants, producers, attorneys, internal staff and all other involved parties regarding claims handling as necessary
Verify and analyze data to ensure that the claims are valid and that the settlements are made according to company practices and procedures
Maintain claim files and update as needed
Document claim files to support actions taken
Maintain adequate reserves
Maintain current knowledge of policy contracts, court decisions, and industry trends
Handle claims in compliance with statutes, regulations, and case law
Serve as a catastrophe team member and assists with the execution of the Company’s Catastrophe Response Plan
Provide support to claim management on all other related tasks as needed
Work on special projects as assigned
Maintain strict confidentiality on all files and records
SKILLS
Advanced knowledge of insuran! ce contracts, Unfair Claims Settlement Practices, legal decisions affecting claims operations, Claims Plan, Claims Handling Procedures Manual and corporate claims policies and procedures
Must possess strong oral and written communication skills
A demonstratable aptitude or experience in evaluating, analyzing and interpreting information; strong analytical skills.
A strong track record of conducting research or investigations
Must have advanced negotiation and conflict resolution skills
Must be knowledgeable in Microsoft Word and Excel
Ability to work flexible hours and limited overtime as needed
Must be a team player and able to communicate effectively with co-workers and others
Must be able to establish priorities in work assignments
EXPERIENCE
5 or more years of property adjusting experience
EDUCATION
Bachelor’s Degree
LA Adjusters License
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If you were eligible to this position, please give us your resume, wi! th salary requirements and a resume to Louisiana Citizens Property Insurance Corporation.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position starts available on: Fri, 08 Nov 2013 07:45:30 GMT
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