Claims Adjuster Iii
Phoenix, Arizona Area
Investigate, evaluate, process and settle claims filed by policyholders within established guidelines.Handle a variety of losses including water, theft, mold, fire, etc.Evaluating documentation provided by policyholders for authenticity.Consistently exceed QA scores with a compliance score of 98%.Reviewing coverage, arranging appraisals and verifying damages.Prepare investigative reports and make coverage recommendations.Establish reserves and claim payments within delegated authority.Manage a large claim volume with between 25-35 new claims a week.Sending out correspondence to advise of claim status.Verifying applicable coverage and opening additional coverage based on the claim.Complete recorded statements with policy holders.Maintain and update diaries for tasks that are needed to bring claim to resolution.Confirm policy coverage and sending applicable denial letters when necessaryMonitor daily dairies and continue to review claims and push to completion.Creating pricing estimates for policy holders in Xactimate.Handle and process moderate to complex claims.Mentor and train new hire employees.Navigating through multiple screens and systems to process claims and bring them to resolution.Inbound and outbound calls to customers, agents, vendors, etc. regarding claim status.