Careers

ICU (Insurance Claims Unlimited) is recruiting experienced Remote TPA Claims Examiners for first party residential and commercial property claims to add to our CAT and daily roster for temporary assignments. Examiners will investigate, evaluate, reserve, negotiate, and settle assigned claims in accordance with Best Practices, as well as provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management.

If you are looking to come on board with a great team of claim professionals at a company with a proven track record, please send your resume to [email protected] and a member of our team will reach out to you.

Position Summary:

Investigates, evaluates, reserves, negotiates, and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management.

Responsibilities:

·       Conducts timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each claim.

·       Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, agents, and technical experts to determine the extent of liability, damages, and cause of loss. Records necessary statements.

·       Identifies resources for specific activities required to properly investigate claims such as Subro, Fire or Fraud investigators and to other experts.

·       Verifies the nature and extent of property damage by obtaining and reviewing appropriate records and damages documentation.

·       Maintains effective diary management system to ensure that all claims are handled timely. Evaluates liability and damages exposure, and establishes proper indemnity and expense reserves, at required time intervals.

·       Utilizes evaluation documentation tools in accordance with department guidelines.

·       Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.

·       Recognizes and implements alternate means of resolution.

·       Maintains and document claim file activities in accordance with established procedures.

·       Protects organization’s value by keeping information confidential.

·       Maintains compliance with Claim Department’s Best Practices.

·       Provides quality customer service and ensures file quality.

·       Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs.

·       Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner.

·       Participates in special projects as assigned.

Qualifications:

·       Five (5) years of first party property claim handling experience preferred. A combination of education and significant directly related experience may be considered in lieu of degree.

·       620 Licensure required.

·       Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions.

·       Proficiency with Microsoft Office products required.

·       Demonstrated customer service focus / superior customer service skills.

·       Excellent communication skills and ability to interact on a professional level with internal and external personnel and business partners.

·       Results driven with strong problem solving and analytical skills.

·       Ability to work independently in a fast-paced environment; meets deadlines, and manages changing priorities effectively.

·       Detail-oriented and exceptionally organized