Claims Specialist

• Handle complex homeowners property damage claims, including fire and water losses, appraisals, disputed damage claims, special investigations, and litigation
• Establish rapport with insureds and maintain relationships with agents, underwriters, contractors, restoration vendors, and experts
• Collaborate with Claims Examiners, Claims Adjusters, and Claims Associates
• Review policies, claims, property damage estimates, photos, police reports, inspection reports, and related reports
• Evaluate damage and coverage to determine amounts owed under applicable insurance policies
• Request payments and manage correspondence with parties involved in claims
• Document files and prepare and issue claim payment or denial letters when appropriate
• Provide excellent customer service
• Investigate, evaluate, and resolve claims using technical knowledge and human relations skills
• Adjust reserves and provide reserve recommendations
• Handle homeowners, dwelling fire, tenant, condo, and personal property claims
• Ensure proper claims-process guidelines are followed
• Review claims to determine whether costs are reasonable
• Consult policy files to verify coverage
• Evaluate damages to ascertain compensation amounts
• Enter claims payments and maintain clean, concise file documentation
• Confer with legal counsel on coverage, legal, or complex matters
• Consult policy and/or hospital records
• Examine photographs and statements
• Listen to and/or watch audio or video surveillance
• Record data and statements in reports
• Evaluate information to determine claim handling
• Negotiate with insureds and/or claimants to resolve claims
• Work with attorneys, public adjusters, roofers, plumbers, and other contractors

Claims Specialist jobs in Washington

Claims Examiner – Complex