TELEPHONE PROPERTY CLAIMS ADJUSTER SPECIALIST
Company: Grinnell Mutual Reinsurance
Location: Des Moines
Posted on: November 26, 2022
Investigates claims, negotiates settlements, and authorizes
payments to customers for casualty and property losses covered by a
Grinnell Mutual policy to reach a fair and equitable settlement.
Acts as company representative during the claims process providing
service primarily via telephone and e-mail.
This position is for Commercial Property claims and can work from
any of the approved states.
Provides the highest level of service to all customers who include
policy holders, claimants, agents, loss control, underwriting,
peers, and in-house telephone claims representatives.
Investigates the facts of assigned property and casualty claims to
determine coverages, damages, and negligence in a timely and
efficient manner as outlined in Grinnell Mutual claims
Gathers supporting data such as appraisals, interviews, police
reports, medical bills, and statements related to the claim,
utilizing telephone and written correspondence. In consultation
with manager, enlists the assistance of a field adjuster for
additional on-the-scene information related to claim when required
for the claim, e.g. photos, measurements, etc.
Evaluates potential financial risk to the company and sets reserves
based on current exposure. Updates reserves based on additional
data or facts gathered.
Settles claims in a fair and equitable manner based on policy
coverages and the information gathered during the investigation,
without exceeding individual authority. Consults with manager
proactively if settlement has potential to exceed authority limit.
Provides recommendations and requests additional authority as
Ensures that checks/drafts are issued and that liability releases
are obtained in a timely manner to assist with efficiently closing
Maintains a complete and well documented file in order to support
the decisions and settlement of the claim.
Operates in accordance with applicable federal and individual
state's fair claim practices and regulations. Stays current with
changing legislation, shares knowledge with co-workers and
managers, and applies information as appropriate.
Performs other duties as assigned.
Bachelor's degree (B.A) from four-year accredited college or
university and two years property/casualty claims experience; or
equivalent combination of education and experience. AIC or SCLA
Ability to demonstrate good interpersonal, active listening and
customer service skills to bring claim to a resolution in a timely
manner following Grinnell Mutual claims procedures. Includes being
familiar with facts, patient, resistant to stress, persistent,
empathetic, and decisive.
Ability to professionally present information and respond to
questions in one-on-one or group settings. Communication may be via
the telephone phone, in person, or in written correspondence.
Ability to think logically and make decisions regarding claim
investigation using personal judgment, experience, and known facts
and figures while following claims procedures to determine
coverages, negligence, and damages.
Ability to organize work, determine priorities, and meet deadlines
established by claims guidelines while incurring frequent
Ability to read, analyze, interpret, and apply insurance
terminology while reading/reviewing contracts, business
periodicals, professional journals, technical procedures, and
governmental regulations to daily work.
Ability to calculate figures and amounts such as interest,
proportions, and percentages.
Ability to work harmoniously with co-employees including managers
and interact with customers and the general public in a tactful and
Ability to maintain regular and predictable schedule to meet the
needs of our customers and provide adequate coverage during our
core business hours.
Ability to operate basic office equipment, including computers,
utilizing specialized claims applications, and Microsoft Office
Ability to maintain a valid driver's license is preferred to allow
flexibility to travel on occasion to claim sites or professional
Working conditions and physical efforts
To perform this job successfully, an individual must be able to
perform each essential function satisfactorily. Reasonable
accommodations may be made to enable an individual with
disabilities to perform the essential functions.
The position is physically located in a cubicle setting within a
typical office environment. The position requires an individual to
sit for extensive periods while on the telephone and computer. The
work may be stimulating yet demanding. It can also be stressful
when experiencing a high volume of claims, when assigned
potentially large claims, or when working with many types of
individuals facing a loss.
The individual may occasionally be required to travel to actual
claims sites when the volume is particularly high as a result of
weather, accident, or other catastrophic situation. On these
assignments, the individual may be required to stand, walk, stoop,
kneel, crouch, crawl, or climb ladders/roofs, and be required to
work inside or outside on a claim site. The individual may
occasionally lift and/or move up to 25 pounds.
This job description is not intended to describe in detail the
multitude of tasks that may be assigned, but rather to give the
employee a general sense of the responsibilities and expectations
of his/her position. As the nature of the demands changes, so may
the essential functions of this job.%1705062%
Keywords: Grinnell Mutual Reinsurance, Des Moines , TELEPHONE PROPERTY CLAIMS ADJUSTER SPECIALIST, Other , Des Moines, Iowa
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