Claim Specialist

• Review assigned claims
• Contact insureds and other affected parties
• Set expectations for the claim process and initiate documentation in the claim handling system
• Complete complex coverage analysis
• Identify all applicable policyholder benefits
• Create additional sub-claims when needed
• Investigate claim facts to determine payment, limits, exclusions, and recovery potential
• Review damages and determine applicability of state law and other claim-related factors
• Evaluate the financial value of losses
• Approve payments for appropriate parties
• Refer claims to Underwriting, Recovery Units, or Claims Special Investigation Unit when necessary
• Document and code claim files and complete claim closure activities in the claims management system
• Negotiate claim settlements
• Handle homeowner/CAT claims valued over $100,000 in the field
• Prepare damage estimates using claims software
• Review estimates for accuracy
• Monitor contractor repair status when needed
• Assist the Claim Manager with file reviews and training when needed
• Conduct on-site property inspections and guide policyholders through the claims process
• Support catastrophe response efforts for large-scale weather events and natural disasters

Claim Specialist jobs in Illinois

Property Field Claim Specialist