Field Claims Specialist

  • location: Downers Grove, IL
  • type: Permanent
  • salary: $65,000 - $75,000 per year
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job description

Field Claims Specialist

Claims Specialist

If you feel you qualify for the position please email your resume to daniel.taraszewski@randstadusa.com and apply to the job posting

Responsibilities:
Primary Duties and Responsibilities (details of the basic job functions):
Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex
claims.

Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other
affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim
handling system. Complete complex coverage analysis. Ensure all possible policyholder benefits are identified. Create
additional sub-claims if needed. Complete an investigation of the facts regarding the claim to further and in more detail
determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct
thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate
the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company
units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document
and/or code the claim file and complete all claim closure and related activities in the assigned claims management
system. Utilize strong negotiating skills.

Claim Specialists assigned to Homeowner/CAT claim unit handle claims valued over $25,000 (for the inside desk role) and
over $100,000 (for field role). Investigate claims requiring in-depth coverage analysis. When handling claims in the field,
must prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair
status. May assist Claim Manager with file reviews and training.

Working hours: 8:00 AM - 5:00 PM

Skills:
Education:
- Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
- Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in
Management or equivalent
- CPCU coursework or designation
- Xactware Training

Ability to
- lift up to 25 pounds
- climb ladders
- walk on roofs

Education:
Associate

Experience:
Experienced

Qualifications:
Experience:
Post for All Claim Units:
- Three years of experience or equivalent training in the following:
- negotiation of claim settlements
- securing and evaluating evidence
- preparing manual and electronic estimates
- subrogation claims
- resolving coverage questions
- taking statements
- establishing clear evaluation and resolution plans for claims

Knowledge and Skills:
Advanced knowledge of:
- Essential Insurance Act (Michigan)
- Fair Trade Practices Act as it relates to claims
- subrogation procedures and processes
- intercompany arbitration
- handling simple litigation
- advanced knowledge of building construction and repair techniques
Ability to:
- handle claims to the line Claim Handling Standards
- follow and apply ACG Claim policies, procedures and guidelines
- work within assigned ACG Claim systems including basic PC software
- perform basic claim file review and investigations
- demonstrate effective communication skills (verbal and written)
- demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting
understanding of their problems and responding to questions and concerns
- analyze and solve problems while demonstrating sound decision making skills
- prioritize claim related functions
- process time sensitive data and information from multiple sources
- manage time, organize and plan work load and responsibilities
- safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
- research analyze and interpret subrogation laws in various states
- travel outside of assigned territory which may involve overnight stay
- relocate, work evenings or weekends


Must Have:

Field Claims Experience 3 + years
Claims Experience 3 + years
Negotiating 3 + years

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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