Claims Representative, Property Damage

This position is responsible for the handling of Auto Property Claims in accordance with NJ Unfair Practices Act. The environment is fast paced with heavy phone work. Strong customer service, organizational, verbal, and written skills are required. The position requires patience and the ability to function professionally in adversarial situations.

Essential Duties and Responsibilities:

 

Investigates and interprets policy provisions, endorsements and conditions to make a coverage determination in the automobile property claim. Identify and investigate Contested Coverage Claims with recommendation prepared for coverage committee.


Responsible for the investigation of the auto accident to make a liability assessment.  This includes interviewing  first and third party claimants, witnesses, investigating officers and other relevant parties,  along with securing pertinent records, documentation and loss scene information.


Analzyes the investigation to determine proximate cause, negligence, and damages. Evaluates and adjusts reserves as necessary


Prepares dispatch instructions for inspection of vehicles.


Negotiates and settles claims within his/her individual authority.  Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate.


Maintains an effective follow-up system on pending files. Prioritize and handle multiple tasks simultaneously. Adjusts to fluctuating workload. Advises insureds, claimants, and brokers on the status of the claim. Acts as an intermediary between the company, preferred vendors and customers. Resolves all disputes that may arise. Escalates unresolved disputes to Claims Supervisor.


Ensures that service, loss and expense control are maintained at all times 


Adheres to privacy guidelines, law and regulations pertaining to claims handling 


Investigate and initiate subrogation when applicable.  Handle and respond to arbitration pertaining to property damage. 


Participate in catastrophic claim handling as requested/needed. This may include traveling to other locations, extended hours and up to a three-week stay.


Other duties as assigned.

Education and Experience

Bachelor?s degree (B.A.) from a four-year college or university

6 months - 1 year related experience and/or training.</p>

Location: Red Bank, NJ