Claims Representative
Company: Tower Hill Insurance Group
Location: Gainesville
Posted on: October 2, 2024
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Job Description:
Description:Tower Hill Insurance Group has an exciting
opportunity for a talented and experienced Claims Representative
who enjoys intellectual challenges and is seeking a rewarding
career with a company that is experiencing growth. Not only is
Tower Hill Insurance one of Florida's most trusted names in
homeowners insurance, but it offers great opportunities for career
advancement and personal growth, along with very competitive
benefits and rewards. We are growing at a consistent pace and seek
professional individuals with drive, team mentality, who want to
make an impact, and are committed to a long-term career in the
insurance industry.
The Claims Representative will review and analyze routine first
party homeowner's claims to determine extent of insurance carrier's
liability, determines the extent of damaged property, and
recommends settlement amounts in order conclude claims with
policyholders in accordance with policy provisions and applicable
insurance statutes and laws. These claims are more moderate to
severe in nature. Investigations are more involved, often relying
on consultant, expert opinion and/or use of specialized tradesman
to assist with coverage and damage determinations. Claims could
involve multiple parties (attorneys, public adjusters, contractors)
and generally have longer life cycles. This is a hybrid
position.Requirements: Essential Duties and Responsibilities
include the following. Other duties may be assigned.Reviews the
insurance policy, endorsements, and related information in order to
make a coverage determination.
(INVESTIGATION)---Conducts the appropriate claim investigation and
directs the investigation of any assigned resources.---Obtains any
physical evidence, develops third party information and theory of
liability, conducts recorded interviews, and secures official
records.---Recognizes and submits subrogation, underwriting and SIU
referrals as necessary.---Maintains file documentation, file notes
and investigation documentation on each assigned claim in
accordance with company guidelines.
(DECISION MAKING)---Reviews policy, adjusters' reports, damage
estimates, expert reports and any other documentation needed to
make the appropriate coverage and loss decisions to conclude
assigned claims.---Able to write/create/edit estimates based on
customer's information or independent adjuster's information
utilizing computerized estimating system.---Able to
write/create/edit letter to confirm status or decision.---Makes
recommendations and decisions based on claim documentation and
investigation.
(COMMUNICATION)---Provides prompt service to policyholders
utilizing phone, fax, mail and electronic mail. Communicates with
all customers in a professional manner.---Complies with customer
service objectives (as determined by the company)---Communicates
with Claims Supervisors consistent with company guidelines.
(LICENSURE)---Successfully completes training and maintains FL
License by meeting Continuing Education requirements.---Operates in
accordance with Florida Statues
SUPERVISORY RESPONSIBILITIES This job has limited supervisory
responsibilities. Claims Representatives may be used to mentor
lesser experienced employees and assist with training. Claims
Representatives will communicate expectations to customers and have
oversight of all vendors involved in the claim investigation.
RequirementsEducation and/or Experience College degree (four-year
college/university) or equivalent professional education and
experience combined; Minimum of 3-4 years related property
adjusting experience and successful completion of more advanced
level claims training courses and/or insurance industry courses as
identified in Claims Training Manual (i.e. Insurance principles,
loss adjustment, estimating software, and residential
construction). Completion of advanced job training.
Certificates, Licenses, Registrations Insurance adjusters license
State of Florida / multiple states preferred.
Tower Hill Compensation Package Includes:---Competitive starting
salary---Annual merit reviews and bonus potential---Medical,
Dental, Life and Disability Insurance, and Health Savings
Accounts---Matching 401(k) Plan---Paid PTO and holidaysFor more
information about our company, careers and Total Compensation,
visit www.thig.com/careers
*Tower Hill Insurance currently operates in these states AL, CT,
FL, GA, IA, IN, KY, MI, MS, NC, OH, PA, SC, TN, TX, UT, VA, WV.
Tower Hill Insurance is an equal opportunity employer, and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, age, sex, national origin,
disability status, genetics, protected veteran status, sexual
orientation, gender identity or expression, or any other
characteristic protected by federal, state or local laws.
Tower Hill Insurance is committed to working with and providing
reasonable accommodation for individuals with disabilities. If you
need reasonable accommodation because of a disability for any part
of the employment process, please send an e-mail to
hrdepartment@thig.com or call (561) 812-6247 and let us know the
nature of your request and your contact information.
All applicants will receive an acknowledgement that their
application has been received. Candidates will not receive status
updates regarding their application; however, those candidates
selected for further consideration will be contacted by Human
Resources.
PI6dec5256029a-37248-35521269
Keywords: Tower Hill Insurance Group, Daytona Beach , Claims Representative, Other , Gainesville, Florida
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