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Claims Rep III
| Details |
Country: USA
Location: Texas-Dallas Plano, TX
Total applied: 24 |
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Claims Rep III
CIGProtecting what matters most. Countrywide Insurance Group works to provide clients with a more complete spectrum of insurance solutions -- and our people with a greater range of rewarding opportunities. Learn more about our innovative solutions, as well as our network of specialized technologies and customized career paths. Claims Representative, Property Summary: Investigate, evaluate, reserve, negotiate and settle assigned claims in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition Primary Responsibilities Include: Timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Take necessary statements. Identify resources for specific activities required to properly investigate claims such as outside claim representatives, nurse consultants, and fire or fraud investigators and to other experts. Request through Claims Supervisor and coordinate the results of their efforts and findings. Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure, and establish proper indemnity & expense reserves. Utilize evaluation documentation tools in accordance with department guidelines. Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Recognize and implement alternate means of resolution. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Handle a large volume of calls in a centralized environment. Use problem solving and decision making skills to work with customers through a variety of challenging situations. Appropriately deal with information that is considered personal and confidential. Compliance with Claim Department's Best Practices. A Successful Candidate Will Have: Advanced level knowledge and skill in claims and litigationCollege degree or equivalent experienceState license where applicable & continuing education Ability to utilize computer technology to work in a fast-paced environment Strong negotiation and customer service skills File management Customer focus/communication Countrywide is committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. EOE. M/F/D/V.
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