Claim Specialist

• Review assigned claims
• Contact insureds and other affected parties
• Set expectations for the remainder of the claim process
• Initiate documentation in the claim handling system
• Complete complex coverage analysis
• Identify all possible policyholder benefits
• Create additional sub-claims when needed
• Investigate claim facts to determine payment, applicable limits or exclusions, and recovery potential
• Review damages and determine the applicability of state law and other claim factors
• Evaluate the financial value of losses
• Approve payments for appropriate parties
• Refer claims to Underwriting, Recovery Units, or the Claims Special Investigation Unit when necessary
• Document and code claim files and complete claim closure activities in the claims management system
• Negotiate claim settlements

Claim Specialist jobs in Florida

Casualty Claim Specialist