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Claims Desk Examiner II - IV (Remote Available)

Company: Wellington Insurance Group
Location: Irvine
Posted on: June 24, 2022

Job Description:

Regular or Temporary:Regular
Language Fluency: -English (Required)
Work Shift:1st shift (United States of America)
Please review the following job description:Wellington is searching to add an experienced Residential Property and Casualty Examiner II-IV to investigate, evaluate, negotiate, and resolve complex, personal lines property claims (including fire and water claims). This individual must be able to provide exceptional customer service, as well as handle claims in accordance with prescribed authority and best claims practices.
Duties Include, but are not limited to:

  • Adjust residential major and complex losses in their entirety, but may also adjust standard losses.
  • Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.
  • Identify, analyze, and resolve coverage issues according to established Company protocol, including thorough policy review and analysis of application to the individual claim.
  • Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g., photos, diagrams, blueprints, maps), statements, official reports (e.g., police, fire, weather, hail), and ownership documents (e.g., tax liens, judgments, encumbrances). Identify alleged and actual damages, identify potential liable parties, recognize and address potential fraud.
  • Conduct thorough damage development, leading to timely and adequate evaluations, including appraisals/estimates, business records, invoices, detailed inventory, purchase records, receipts, credit card statements, and ALE documents. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations.
  • Negotiate with policyholders to settle claims.
  • Perform technical reviews of appraiser and contractor property damage estimates.
  • Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit, trial, or subrogation.
  • Support work-load surges due to weather-related events as needed.
  • Ability to train and mentor entry-level examiner employees.
    • Associates Degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school required
    • Minimum three (3) years desk adjuster experience, working with residential P&C claims
    • Texas Property / Casualty Adjuster License
    • Bilingual is a strong plus
      Skills Desired:
      • Strong problem solving skills; proactively finding solutions to difficult or complex issues
      • Strong verbal and written communication skills with the ability to adapt to many different personalities
      • Demonstrate good attitude and judgment, discretion, and maintain high level of confidentiality
      • Commitment to continued training and learning to keep up with new industry and company changes
      • Strong understanding of Xactimate and Im
        Wellington is an Equal Opportunity Employer and considers all qualified applicants regardless of race, gender, color, religion, national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law.

Keywords: Wellington Insurance Group, Irvine , Claims Desk Examiner II - IV (Remote Available), Other , Irvine, California

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