Travelers Claim Representative, Inside Boiler Machinery Equipment in Middleboro, Massachusetts
Claim Representative, Inside Boiler Machinery Equipment
Primary Job Duties & Responsibilities:
Handle 1st party Boiler & Machinery/Equipment Breakdown claims of low to moderate severity and complexity as assigned. Investigate and evaluate all relevant facts to determine coverage, damages and liability of first-party property claims under a variety of policies. Review and analyze policy conditions, provisions, exclusions and endorsements pertinent to a variety of property losses. Review and analyze Reinsurance treaties, agreements, provisions, exclusions and applicable property forms that are appropriate to the various programs and losses. Obtain and analyze leases, contracts, by-laws and other relevant documents which may have an impact on the adjustment of losses. Work with customers and vendors to determine restoration options to mitigate loss. Establish timely and accurate claim and expense reserves. Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles. Negotiate and convey claim settlements within authority limits to insureds. Work closely with reinsurance business partners to achieve optimal claim resolution. Write denial letters, Reservation of Rights and other complex correspondence to insureds. Control damages through proper usage of cost containment tools. Meet all quality standards and expectations as contained in the applicable Knowledge Guide. Maintain an effective diary system and document claim file activities in accordance with established procedures. Manage file inventory to ensure timely resolution of cases. Handle files in compliance with state regulations, where applicable. Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers. Identify and refer claims with MCU exposure to the supervisor. Identify and refer claims that may have valued added by an outside field inspection conducted by Risk Control or engineering consultants. Determine cases that may have fraud potential and to refer claims to Special Investigations Unit. Other duties as assigned.
Job Opening ID:
Equal Employment Opportunity Statement:
Travelers is an equal opportunity employer.
Job Specific & Technical Skills & Competencies:
Excellent organization skills with ability to work independently. Strong verbal and written communication skills. Customer service orientation; empathy. Demonstrated ownership attitude and customer centric response to all assigned tasks. Solid analytical and decision making skills. Math skills. Working knowledge of Excel and Word Excellent negotiation skills. Hardware and software skills to utilize and leverage claim and estimating technology.
Under general supervision, handles 1st party Boiler and Machinery/Equipment claim. The equipment related property losses include spoilage and business income loss. The majority of claims will have financial exposure of less than $25,000, but can involve higher exposure depending on loss type and nature of the damaged property. Occasionally handles claims with additional complexities related to unique equipment and/or damage issues. This job does not lead others.
Education, Work Experience & Knowledge:
Bachelors Degree Preferred. Prior hands-on mechanical/electrical experience a plus. Multilingual (Spanish and Korean) proficiency a plus.
Operates standard office equipment Requires extended periods of computer use Requires extended periods of sitting Other (extensive phone usage)
High School Diploma or GED required. A minimum of 2 years experience in Claim handling. Experience utilizing computer technology; such as Microsoft Office, e-mail, Web-enabled applications , and database software required. In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) are required to be obtained within three months of starting the job.
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.
Hartford - Connecticut - United States
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