Claims Specialist
CurrentFIRE & THEFT REPRESENTATIVE• Investigates & Resolves Specialty Claims: Specifically handle claims with fraudulent and complex components in the New England Area. Identifies frequency, coverage and misrepresentation issues. Sets clear customer expectations with customers on claim resolution, while maintaining the highest level of customer service. • Completes extensive background searches via internet and insurance databases. Reviews credit reports, phone records and bank records to verify information provided by the insured. • Assists with special investigations in identification of fraudulent claims and develops action plans for resolution. • Reporting: tracks and reports on policies with identified issues. Ensures that State specific documentation is sent on each claim. Ensures claim resolution is in compliance with state policy. MANAGED REPAIR REPRESENTATIVE• Customer service: Direct customer contact over phone and in person. Addresses all customer concerns, regarding vehicle repair and estimate with following-up through repair completion. • Licensed Appraiser: Assesses auto damage, understands and complies with all state regulations in affect for damage repairs. Educates customers on repair process and options, while selling Network Program as best option. • Territory management: Maintains and builds good relationships with local business, monitoring output while setting time assured expectations. • Negotiates: Applies good judgment and common sense for collaborative repair cost settlements. CLAIMS REPRESENTATIVE • Enhanced over the phone customer service: Top performer in contact matrices by complying with all company callback standards.• Managed claims: Interviews parties involved with loss; determining fault and complying with MA insurance regulations. Completes claim investigation and ensures fast and accurate resolution. Assists customers with arranging repairs.
