Job Description
Territory/Location: Eastern Pennsylvania
Works within significant limits and authority on claim assignments of higher technical complexity and coordination. Determines coverage and investigates, analyzes, negotiates and settles claims typically requiring outside investigation while delivering quality customer service in a moderate to high volume, moderate complexity work environment.
Coverage/Investigation/Liability - Determines whether or not proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution. Monitors ongoing case development for appropriateness.
Damages - Determines the value of the physical damage of property, through physical inspections and use of appropriate tools. Obtains all necessary documentation to support claim evaluation. Recognizes claim file exposures and escalates appropriately.
Communication - Maintains effective and ongoing communications with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel.
Customer Service - Ensures customer service excellence. Responsible for the customer and agent experience associated with assigned claims
Reserving/Reporting - In accordance with Westfield's reserving philosophy, establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience. Completes appropriate reports so that the current status of the claim is clearly documented at all times.
Negotiation/Settlement - Within decision making authority, negotiates timely and appropriate settlements with insureds, claimants, vendors, attorneys, and other insurance companies. Refers claims exceeding authority to appropriate leader or complex claims specialist with recommendations.
Leader Assistance - May assist and direct office staff at Unit Leader direction.
Coach/Mentor - May provide technical guidance and assistance to lower level associates and other functional areas.
Travel - Travels as often as needed including regular utilization of assigned fleet vehicle in order to cover assigned territory. This may involve traveling on short notice, storm duty, or other daily driving duties as assigned regardless of location.
Ability to handle property claims with exposure typically up to $250,000+.
Five or more year's equivalent claims adjusting/industry related experience.
Strong verbal, written, and interpersonal skills resulting in the ability to communicate effectively with multiple levels within the organization.
Proficient use of various core systems, office and computer equipment and software packages.
Conflict resolution experience.
Holds (or has ability to obtain) and maintains appropriate adjuster licensing and certification(s) in assigned territories.
Valid driver's license and a driving record that conforms to company standards.
Ability to travel, including overnight business trips as needed.
Bachelor's Degree or commensurate experience.
Xactimate experience is strongly preferred.
Commercial property adjusting experience is a plus.
