Follows corporate policies, procedures, and fair claims-handling practices
Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others
Reviews and evaluates documentation, including applications, reports, and statements
Monitors appropriate claim outcomes through a self-audit process
Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
Ensures legal, regulatory and fair claims handling compliance
Sets or recommends reserves based on results of claim investigation.
Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
May provide interaction with insureds, agents, claimants, attorneys, and other service providers. Conducts in-depth interviews and/or scene inspections
Attends settlement conferences and/or trials
May serve as a member of project teams, contributing to the achievement of project objectives.