Job Description
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Regular or Temporary: Regular
Language Fluency: English (Required)
Work Shift: 1st shift (United States of America)
Please review the following job description: The incumbent is responsible for using investigative resources and negotiation skills to ensure accurate processing and pricing for a claim. The incumbent is responsible for providing coverage analysis, investigation, thorough development of damage issues, and detailed resolution plans for claims that directly correlate with property damage, special investigations, and/or subrogation.
ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Evaluate all detailed facts regarding any submitted claim that includes liability, subrogation, or SIU; recognize the actual amount of overall damages and subrogation recovery and address any potential fraud on the scene.
2. Maintain contact with initial witnesses and parties to provide information on liability, claim value, explanation of benefits, and coordination of claims resolution.
3. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations post-evaluations.
4. Coordinate plan of action in a pro-active manner and negotiate the earliest and most cost effective resolution of claims.
5. Coordinate all activities of claims referred for SIU investigations and coordinate the investigative activities of external resources.
6. Communicate effectively with law enforcement regarding claims, insureds, and/or vendors.
7. Maintain statistical reporting data and develop anti-fraud plans in accordance with state regulations; develop and conduct programs and training sessions in fraud awareness and detection.
8. May develop and/or train other claim employees in the area of expertise.
QUALIFICATIONS Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Seven years of related, applicable experience
2. Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school
3. Adjusters License for states in which the Company conducts business
Preferred Qualifications: 1. Progressive experience processing property claims
2. Bachelor's degree (B.A. or B.S.) from a four-year college or university
3. Fluency in Spanish
General Description of Available Benefits for Eligible Employees of TIH: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance Holdings, LP (TIH) offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment and tax-preferred savings accounts, along with other voluntary benefits. All regularly scheduled teammates (not temporary or contingent workers), regardless of the number of scheduled hours, can contribute to a 401(k) savings plan and you become eligible for Company matching contributions after one year of service and attainment of age 21. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit our Benefits site. Eligible employees may have the opportunity to participate in a deferred compensation plan and/or have an ownership interest in TIH in the form of profits interest or capital interest. As you advance through the hiring process, you will learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
This position is part of TIH. Truist Financial Corporation has completed the sale of Truist Insurance Holdings (TIH). As a result, TIH is a separate company from Truist Bank as of May 6, 2024. Refer to the news release for details.
TIH Insurance Holdings, LP (TIH) supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. TIH is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify
Job Tags
Holiday work, Full time, Part time, Shift work, Day shift,