Evaluates the risk for incoming claims. Reviews coverage, set initial reserves and facilitates the need for outside field investigation. Manages litigation with a protocol. Sets budgets for claims and outside field spend. Controls all forms of claims costs. Prepares final reports to clients and assists in quarterly, or annual client specific audits.
4 Year college (Bachelor's Degree)
7 plus years experience.
XACTIMATE trained
California License is preferred to get reciprocity to handle claims in various states.
Coverage Analysis and the ability to interpret policy forms
Knowledge of various statutory laws
Construction and Contents evaluation experience
Client Interaction via phone and email/reporting
Outside field and vendor direction/interaction
Direct file handling
Examines claims forms, policies and endorsements, client instructions and other records to determine coverages
Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford
Settles claims by determining clients coverages, liability, client's instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies,disposing of salvage, pursuing subrogation when appropriate