Claims Examiner
James River Insurance Company
- Investigates claims made for injury and property damage in compliance with state regulations and best practices as dictated by company policy- Determines the value of claims based on personal interviews, damage assessments, database research of claimant history, and official report analysis (Examples: police reports, medical records, and billing statements)- Earned multiple insurance adjusting licenses allowing for claims to be addressed across the country- Negotiates contentious settlements with claimants and attorneys- Prioritizes tasks based on urgency such as payments, responding to demand deadlines, as well as continual resolution of claims in a high volume environment exceeding 100+ claims - Resolves complex coverage and liability issues through the interpretation of insurance policies, recorded statements, and review of corresponding documentation- Consistently performs in the top percentile in quality assessments and performance reviews- Provides quality customer service experiences through anticipating the needs of claimants, prompt responsiveness to emails, and high level of accessibility by phone- Engages in regular problem solving such as resolving delays, providing instructions on how to pursue the claims process, and facilitating communication among all involved parties to ensure completion of objectives