Claims Specialist

What You’ll Do

• Investigates, evaluates, and resolves multi-line claims in accordance with established procedures, good faith practices, and in accordance with the policy.
• Examines claim adjustors’ reports or similar claims/precedents to determine extent of coverage and liability.
• Pays claimant/insured amount due according to our contractual obligation and in alignment with our company procedures.
• Identifies and refers questionable claims to the special investigation unit in accordance with established fraud reporting procedures.
• Maintains excellent written and verbal correspondence with all parties involved on the claim.
• Evaluates and obtains damage documentation to accurately set reserves and effectively resolve claims.
• Maintains current status on claims and reviews claims on diary system.
• In rare circumstances, may be required to provide testimony under oath on claims in litigation.
• Provides quality customer service along with accurate and timely claim investigations and payments.
• Handles monthly bulk payments and applies recoveries as needed.

What You’ll Bring

• High School Diploma or GED
• Proficiency in Microsoft suite applications including Word, Excel, Outlook, and PowerPoint.
• Ability to obtain/maintain an adjuster’s license (product specific).
• Property/casualty insurance adjusting experience
• Jewelry expertise, including experience working in the jewelry trade
• Proficiency in Guidewire software

Physical Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Occasionally required to stand; walk; use hands to finger, handle, or touch objects or controls; and talk or hear.