• Review documents, estimates, policy forms, and determine if and how coverage applies to submitted claims.•Authorize payment within scope of authority, effectively resolving claims in a cost-effective manner and ensuring timely issuance of disbursements; referrals to carriers as needed.•Write coverage letters detailing coverage positionsInteract professionally with insurance carriers, internal and external customers and departmental staff.

• Work within specific limits and authority on assignments of moderate technical complexity.• Use discretion and independent judgment in claim handling. • Possess functional knowledge and skills reflective of fully competent practitioner.• Investigate, analyze, evaluate, and negotiate claims of minimal to moderate complexity.• Be responsible for some to all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality, and customer service.• Implement and coordinate the most effective management techniques to mitigate loss and expense payments.

• Managed a backlog of claims and diary system to ensure appropriate and timely communication, claim monitoring and file reporting.• Monitored claim-related communications and take appropriate actions to address stakeholder needs, consider additional claims exposures, and make proper data entries into the claim system.• Ensured thorough investigations and research are completed to establish and evaluate coverage for assigned claims, subrogation and total loss claims.

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• Investigated, evaluated, negotiated, and handled hail-specific claims due to weather-related events which may include completing initial contacts to gather information and set expectations for further handling. • Communicated with policyholders, contractors, and sub-contractors. • Resolved a large volume of claims that do not require a physical inspection and are expected to close quickly.

• Delivered remarkable customer experience throughout the reporting and handling of lower complexity claims, identifying and ensuring prompt routing of claims to other functional areas. • Gathered information and explain coverage and claim processes on liability, PIP/MPC, UMPD, physical damage coverages, and initiate auto processing for payments as appropriate. • Coached/developed new agents on key performance indicators and assisted team managers with outliers to improve team objectives.