ohio farmers insurance
Casualty Claim Specialist
ohio farmers insurance, Detroit, Michigan, United States, 48228
Casualty Claim Specialist Employee Status: Regular Schedule: Full-time Location: Remote NOTE: Company car and cell provided. Car travel within assigned territory is at least 25%, and can cover Michigan, Indiana, Illinois, and Wisconsin.
You're ready to make your mark where people care about each other. Where your work is meaningful. And where your unique perspectives are welcome. Think about joining Westfield, a company focused on what's most important - the people behind our policies. Westfield was founded in 1848 by a small group of hard-working farmers who believed in the promise of the future and the power of the individual. Today, as one of the nation's leading property and casualty (P&C) companies, we remain true to their vision and are dedicated to making a positive difference in our customers' lives.
Responsibilities; Coverage/Investigation/Liability - Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution. Monitors ongoing case development for appropriateness. Damages - Determines the value of the physical damage of property, automobiles, or injuries through physical inspections and use of appropriate tools. Obtains all necessary documentation to support claim evaluation. Recognizes claim file exposures and escalates appropriately. Reserving/Reporting - Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience. Completes appropriate reports so that the status of the claim is clearly documented at all times. Customer Service - Ensures customer service excellence. Responsible for the customer and agent experience associated with assigned claims. Negotiation/Settlement - Within decision making authority, negotiates timely and appropriate settlements with insureds, claimants, vendors, attorneys, and other insurance companies. Refers claims exceeding authority to appropriate leader or complex claims specialist with recommendations. Communication - Maintains effective and ongoing communications with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel. Collaboration - Collaborates with internal/external business partners, and large account customers, seeking and/or providing assistance or input when needed. Collaborates with peers and other departments to make decisions that are in the best interest of the company. Coach/Mentor - Coach/Mentor - May provide technical guidance and assistance to other claims professionals and other functional areas. Leader Assistance - May travel to assist in complex claims, or may substitute for other leaders. Industry Research/Best Practices - Remains current on industry topics, trends, processes, technology, best practices through research, industry events, networking, etc. Shares knowledge gained with others and is responsible for driving new and updated policies, processes, and procedures. Travel - Travels as often as needed including regular utilization of fleet vehicle to cover assigned territory. This may involve traveling on short notice or other daily driving duties as assigned regardless of location.
Qualifications; 5 or more years casualty claims handling experience. Experience negotiating claims and handling conflict. Experience as project team lead or line of business subject matter expert (SME). Experience using a claims management system e.g. Guidewire or diary management system to accurately document file activities. Strong verbal, written, and interpersonal communication skills with the ability to interact with all levels of the company. Experience with Microsoft Windows, Outlook, and Exc
You're ready to make your mark where people care about each other. Where your work is meaningful. And where your unique perspectives are welcome. Think about joining Westfield, a company focused on what's most important - the people behind our policies. Westfield was founded in 1848 by a small group of hard-working farmers who believed in the promise of the future and the power of the individual. Today, as one of the nation's leading property and casualty (P&C) companies, we remain true to their vision and are dedicated to making a positive difference in our customers' lives.
Responsibilities; Coverage/Investigation/Liability - Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution. Monitors ongoing case development for appropriateness. Damages - Determines the value of the physical damage of property, automobiles, or injuries through physical inspections and use of appropriate tools. Obtains all necessary documentation to support claim evaluation. Recognizes claim file exposures and escalates appropriately. Reserving/Reporting - Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience. Completes appropriate reports so that the status of the claim is clearly documented at all times. Customer Service - Ensures customer service excellence. Responsible for the customer and agent experience associated with assigned claims. Negotiation/Settlement - Within decision making authority, negotiates timely and appropriate settlements with insureds, claimants, vendors, attorneys, and other insurance companies. Refers claims exceeding authority to appropriate leader or complex claims specialist with recommendations. Communication - Maintains effective and ongoing communications with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel. Collaboration - Collaborates with internal/external business partners, and large account customers, seeking and/or providing assistance or input when needed. Collaborates with peers and other departments to make decisions that are in the best interest of the company. Coach/Mentor - Coach/Mentor - May provide technical guidance and assistance to other claims professionals and other functional areas. Leader Assistance - May travel to assist in complex claims, or may substitute for other leaders. Industry Research/Best Practices - Remains current on industry topics, trends, processes, technology, best practices through research, industry events, networking, etc. Shares knowledge gained with others and is responsible for driving new and updated policies, processes, and procedures. Travel - Travels as often as needed including regular utilization of fleet vehicle to cover assigned territory. This may involve traveling on short notice or other daily driving duties as assigned regardless of location.
Qualifications; 5 or more years casualty claims handling experience. Experience negotiating claims and handling conflict. Experience as project team lead or line of business subject matter expert (SME). Experience using a claims management system e.g. Guidewire or diary management system to accurately document file activities. Strong verbal, written, and interpersonal communication skills with the ability to interact with all levels of the company. Experience with Microsoft Windows, Outlook, and Exc