Description

• Under limited supervision, receive assignments and review claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
• Contact, interview and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
• Depending on the line of business, may inspect and appraise damage for property losses or arrange for such appraisal.
• Evaluate facts supplied by investigation to determine the extent of liability of the insured, if any, and extend the company's obligation to the insured under the policy contract.
• Prepare reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
• Set reserves within authority limits and recommends reserve changes to Team Leader.
• Review progress and status of claims with Team Leader and discusse problems and suggested remedial actions.
• Prepare and submit to Team Leader unusual or possible undesirable exposures.
• Assist Team Leader in developing methods and improvements for handling claims.
• Settle claims promptly and equitably.
• Obtain releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
• Inform claimants, insureds/customers or attorney of denial of claim when applicable.