Claims Specialist managing high exposure casualty and specialty claims for Hamilton Select. Responsible for mentoring new adjusters and ensuring compliance with corporate guidelines.
About the role
- P&C Claims Representative providing high-level customer service in processing property and casualty insurance claims. Responsibilities include client liaison, documentation, and claims management.
Responsibilities
- Initial Intake: Receive all incoming claims-related phone calls and identify the appropriate carriers and adjusters.
- Reporting: Determine the applicable coverage, complete necessary Acord forms, and notify the designated Agent via email and the AMS activity file.
- Neutrality: Adhere strictly to the requirement to never imply or deny coverage or a claim.
- Client Liaison: Act as a coordinator between the carrier and the client; provide customers with claim numbers and adjuster contact details within 48 hours of receipt.
- Documentation: Maintain real-time updates in the AMS computer system, including scanning and logging all activity.
- Follow-Up: Conduct a satisfaction assessment with the customer within 15 days of the initial report.
- Support: Assist Account Managers and Agents with specific claim inquiries and maintain a suspense system for all pending items.
- Submissions: Process bills for glass damage and towing directly to the carrier.
- Policy Integrity: Identify and notify Account Managers of "Total Loss" vehicles for deletion or unlisted drivers involved in accidents.
Requirements
- Licensing: Must possess and maintain an active Property and Casualty insurance license as required by the Department of Insurance.
- Education/Experience: A one-year college/technical certificate, 3–6 months of related industry experience, or an equivalent combination of both.
- Technical Skills: Proficiency in Microsoft Office (Word, Outlook) and strong general computer skills.
- Communication: Ability to interpret insurance policies and procedure manuals; must be capable of composing professional email and correspondence.
- Reasoning: Ability to apply common sense to detailed instructions and resolve problems involving standardized situations.
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