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Claims Representative III

Company: Tower Hill Insurance Group
Location: Gainesville
Posted on: August 5, 2022

Job Description:

DescriptionTower Hill Insurance Group has an exciting opportunity for a talented Claims Representative III who enjoys intellectual challenges and is seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowner's insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry. Tower Hill Insurance Group has an exciting opportunity for a talented Claims Representative III - Inside who enjoys intellectual challenge and seeks a rewarding career with a company that is experiencing growth. Review and analyze routine first party homeowner's claims to determine extent of insurance carrier's liability, determines the extent of damaged property, and recommends settlement amounts in order conclude claims with policyholders in accordance with policy provisions and applicable insurance statutes and laws. These claims are more complex in nature and involve moderate to severe structural damage. Investigations are more involved, often relying on consultant, expert opinion and/or use of specialized tradesman to assist with coverage and damage determinations. Claims involve multiple parties (attorneys, public adjusters, contractors) and generally have longer life cycles.ESSENTIAL DUTIES AND RESPONSIBILITIES Reviews the insurance policy, endorsements, and related information in order to make a coverage determination. (INVESTIGATION)---Conducts the appropriate claim investigation and directs the investigation of any assigned resources.---Obtains any physical evidence, develops third party information and theory of liability, conducts recorded interviews, and secures official records.---Recognizes and submits subrogation, underwriting and SIU referrals as necessary.---Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with company guidelines.(DECISION MAKING)---Reviews policy, adjusters' reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.---Able to write/create/edit estimates based on customer's information or independent adjuster's information utilizing computerized estimating system.---Able to write/create/edit letter to confirm status or decision.---Makes recommendations and decisions based on claim documentation and investigation.(COMMUNICATION)---Provides prompt service to policyholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.---Complies with customer service objectives (as determined by the company)---Communicates with Claims Supervisors consistent with company guidelines.(LICENSURE)---Successfully completes training and maintains FL License by meeting Continuing Education requirements.---Operates in accordance with Florida Statues OTHER RESPONSIBILITIES---Provide support to other members of the technical claims staff.---Participates in CAT Duty as required.Other duties as determined by management

RequiredCollege degree (four-year college/university) or equivalent professional education and experience combined; Minimum of 5 years related adjusting experience and successful completion of more advanced level claims training courses and/or insurance industry courses. Completion of advanced job training.Preferred-- Minimum of 5 years' experience as a Staff Desk Adjuster-- Minimum of 2 years' experience as a Property Claims Field Adjuster-- Advanced industry certifications -- Project Management, and/or Process Improvement experience-- Active FL 6-20 All-Lines Adjuster LicensePM19PI187618003

Keywords: Tower Hill Insurance Group, Gainesville , Claims Representative III, Other , Gainesville, Florida

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