Job Description
Job Summary
Westfield Property Claims resolves first party personal, commercial, and agriculture property claims, which includes but is not limited to structural damage, business and personal property, and business income claims. The Inside Claims Senior Representative serves as a technical expert on first party property claims adjusting. The role determines applicability of coverage, investigates, establishes damages, negotiates, and settles claims. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team.
Job Responsibilities
Determines whether proper coverage exists for the type of claim assigned.
Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, legal climate, potential exposure, damages, and makes decisions on claim resolution.
Determines the value of physical damage of property, through appropriate tools and vendors, recognizes claim file exposures and escalates claims appropriately based on claim severity and complexity.
Provides support in negotiation of settlements with insureds, attorneys, and other insurance companies.
Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets.
Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards.
Establishes proper reserves for each claim based upon thorough investigation, evaluation, and experience.
Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations.
Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker.
Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing.
Requests additional information from an agent or other parties to assist in the claim investigation
Maintains effective and ongoing communication with insureds, agents, attorneys, other insurance companies, representatives, vendors, and company personnel.
Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation.
Interprets complex and detailed documents such as contracts, legal documents, insurance regulations and policies as needed.
Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices.
For field roles only: 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 or other daily driving duties as assigned.
Job Qualifications
4+ years of Claims Handling experience.
Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience.
For field roles only: Valid driver's license and a driving record that conforms to company standards.
Location
Remote
Behavioral Competencies
Certified Professional Claims Management (CPCM)
Adjuster License
Collaborates
Customer focus
Communicates effectively
Decision quality
Nimble learning
Technical Skills
Account Management
Data Analysis and Reporting
Financial controls
Case Management
Claims Adjustment
Customer Relationship Management
Project Management
Business Process Improvement
Auditing
Claims Investigations
This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.
Founded in 1848, Westfield is a global leader in property and casualty insurance, delivering superior risk insights and innovative solutions to customers through a diverse portfolio of insurance products. Westfield underwrites commercial, personal, surety, and specialty lines of coverage through a network of leading independent agents and brokers in the United States and specialty products through Lloyd's of London Syndicate 1200. As a mutual insurance company with more than 3,000 employees, Westfield has revenues in excess of $4 billion and more than $10 billion in assets.
Westfield celebrates diversity and is committed to inclusion. All qualified applicants receive consideration for employment without regard to race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, or status as a protected veteran.
