Disability Claims Examiner, Sr. jobs in Rhode Island

Primary Function:

This position requires an experienced property adjuster to use their skills to manage a portfolio of claims from first notice of loss through to final resolution. The position requires a blend of phone, desk, and independent adjuster-assigned, case management. This will include speaking with agents, customers, and other claim-related parties to understand and resolve property claims. Producing correspondence, issuing settlement checks, and position letters.

Duties & Responsibilities:

• Examine new loss reports and determine the appropriate method for investigating/determining coverage and evaluating damage.
• Assign claims to the appropriate subject matter expert(s) (e.g., staff, independent adjuster, mitigation contractor, contractor, engineer, other).
• Set reserves in accordance with SLA’s and authorize requests for payment.
• Handle customer and agent relationships effectively utilizing sound communication skills that are empathetic, compassionate, knowledgeable and professional. Communicate regularly and effectively with customers.
• Identify potential for subrogation opportunities on all files, as well as handle subrogation demands for settlement or arbitration made against the company from adverse carriers.
• Make subrogation assignment to NBIC’s recoveryvendor.
• Negotiate claim settlements and recommend arbitration / litigation when settlement cannot be fairly achieved
• Audit, correct and resolve discrepancies in covege interpretation as well as damage evaluation.
• Assist with catastrophe duties as required.
• Flexibility to travel for up to four weeks at a time and handle field related claim activities if the need arises.

Experience, Educattion, and Special Skills Required:

• Bachelors Degree
• Minimum of 5 years of property claims handling experience to include coverage determination as well as dwelling and contents damage appraisals.
• CPCU, SCLA, AIC or other appropriate designation preferred.
• Personal property insurance education/experience preferred.
• Independent adjuster’s license and state required licensing required.
• Construction experience and knowledge of building trades preferred.
• Proficiency with Xactimate or Symbility estimating software is preferred.
• Experience in interpreting ISO HO and DP policy forms and endorsements; and explaining coverage benefits to policyholders and agents.
• Strong written and verbal skills – the ability to listen to, understand, and express information and ideas clearly and succinctly.
• Strong analytical and mathematical abilities.
• A demonstrated record of success in handling medium to complex property claims toconclusion.
• Skilled in the use of computers for data processing and communications.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift

Work setting:

• In-person
• Office

Work Location: In person