Inside Claim Professional Property Claims

6 months ago

Dartmouth, Canada The Travelers Companies, Inc. Full time

- Who Are We?


- Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

- Job Category
Claim

- Target Openings
1


- What Is the Opportunity?


- What Will You Do?
- Handling 1st party PI and BI Property claims of low to moderate severity and complexity as assigned.
- Making contact with insured within Best Practice guidelines.
- Providing clear explanation of claims process and coverage to all customers.
- Acting as primary contact for customer and as intermediary between customer and other parties.
- Participating in extended hours duties as required.
- Advises underwriting of any information gathered which may affect risk assessment.
- Investigating and evaluating all relevant facts to determine coverage, damages and liability of first-party property claims under a variety of policies.
- Conducting prompt investigation of coverage and liability.
- Documenting claims files in accordance with claim property Best Practices.
- Managing pending and settles claims within company averages based on type of claim, complexity of claim and geographical area.
- Establishing accurate scope of damages for building and contents losses and utilize as a basis for written estimates and/or computer assisted estimates.
- Working diary system to be proactive on files.
- Reviewing and analyzing policy conditions, provisions, exclusions and endorsements pertinent to a variety of property losses.
- Reviewing amounts on all invoices and all documentation supporting payments.
- Maintaining diary follow up on all files to ensure prompt disposition.
- Ensuring that all claims files and company information are kept confidential.
- Identifying and following up on all salvage and subrogation opportunities promptly.
- Completing a level of investigation that is commensurate with the financial exposure on each loss handled.
- Researching company experience/available case law to substantiate quantum, coverage and liability for casualty claims.
- Managing files in accordance with established Best Practices Obtaining and analyzing leases, contracts, by-laws and other relevant documents which may have an impact on the adjustment of losses.
- Establishing timely and accurate claim and expense reserves. Posts all reserves in system within Best Practice guidelines and updates system promptly as new information received.
- Posting all reserves in system within file standards guidelines and updates system promptly as new information received.
- Referring all files above settlement authority, with recommendations for resolution, to Unit Manager and follows up through closure.
- Negotiating and conveying claim settlements within authority limits to insureds.
- Writing denial letters, Reservation of Rights and other complex correspondence to insureds.
- Controlling damages through proper usage of cost containment tools.
- Meeting all quality standards and expectations per file standard guidelines.
- Managing file inventory to ensure timely resolution of cases.
- Handling files in compliance with provincial regulations, where applicable.
- Providing excellent customer service to meet the needs of the insured, broker and all other internal and external customers.
- Identifying and referring claims with Major Case Unit exposure to the Unit Manager.
- Identifying and referring claims that may have valued added by an outside field inspection.
- Identifying and referring tasks to Travelers of Canada (Outside Adjuster), wherever complex claims are identified for immediate transfer to the appropriate level of Adjuster for special handling.
- Determining cases that may have fraud potential and to refer claims to Travelers Investigative Services.
- Identifying potential for subrogation and refer appropriate claims to the Subro Unit.
- Virtually handling inside claims from across the country; manage periods of increased claim volume.
- Occasional travel for Catastrophe Duty, including other offices and provinces may be required.
- Performing any other duties as required.
- Ensuring that all claims files and company information are kept confidential.
- Identifying and following up on all salvage and subrogation opportunities promptly.
- Perform other duties as assigned.
- University Degree/College Diploma or equivalent business experience preferred.
- Basic knowledge of construction preferred Work experience providing customer service preferred.
- Enrolment in the CIP program is an asset.
- Strong verbal and written communications skills. Ability to deal with people and communicate effectively by telephone.
- Proficiency in typing.
- Excellent organizational skills with ability to work independently.
- Solid analytical and decision making skills.
- Adjusters license as required,

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