Field Claims Specialist

Company Name:
Koch Davis
Promptly and effectively handles to conclusion all assigned claims with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service. Determines proper policy coverages and applies best claims practices to conclude assigned cases in accordance with company guidelines. Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends special reserves where necessary. In accordance with corporate reserving guidelines. Adheres to file conferencing notification and authority procedures. Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and training sessions. Maintains current knowledge of local industry repair procedures and local market pricing. Submits severe incident reports, reinsurance reports and other information to claims management as needed. Partners with SIU and subrogation to identify fraud and subrogation opportunities. Assists or prepares files for suit, trial, or subrogation. Initiates and conducts follow ups via proficient use of the claims systems and other related business systems. Delivers a positive customer service experience to all internal, external, current and prospective nationwide customers.
State licensing where required. Successful completion of required claims certification training. Three to five years related property claims experience. Experience in a customer service environment including flexible work schedules and extended work hours preferred. General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Proven knowledge of the investigation, negotiation and settlement activities used to resolve extensive property damage claims.
Bachelor degree
This is one of the large U.S based insurance and financial services company.

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Claims Specialist
El Cajon, CA Public COnsulting Group, Inc.
Commercial/Medi-cal Specialist
Orange, CA Medix
Reimbursement Specialist
Corona, CA Option Care
Legal Billing Specialist / Legal Biller
Palo Alto, CA Ledgent Finance & Accounting