At Seibels, we believe our people are our most important asset. They are the driving force behind our mission and the reason we are able to provide best-in-class services to the property and casualty insurance industry. Our culture is founded upon four core values: collaboration, accountability, respect, and transparency. Upholding this culture and embodying it in all that we do is paramount to the organization and its success.

We offer competitive benefits package to all of our employees. Benefits include health and dental coverage that begins the first day of employment, 401(k) with employer match, paid holidays, free downtown parking, up to 20 days of PTO accrual in first year, and much more!

Manages a pending caseload of moderate to the highest severity and complexity property and/or liability homeowner claims in a team environment. Ensures prompt, effective, and courteous handling of all claims to policyholders and claimants. Participates in the after-hours phone program on a rotational basis. Special emphasis is placed on complying with appropriate guidelines.

• Claim Assignment - Verifies policy information for accuracy to determine if coverage is in force and applicable on new claims. Develops an investigative action plan to include resolution of coverage issues as required.
• Manages Customer Contact: Ensures timely and professional contact is made with insureds, claimants, agents and other parties, to include prompt return of phone calls. Contacts or interviews necessary parties to secure additional information such as public adjusters, attorneys, engineers and other vendors.
• Investigation - Evaluates assigned claims on an ongoing basis and makes recommendations for further task assignments and other information as needed for proactive claim handling and final claim disposition. Interprets policy provisions to approve or deny payments applying technical knowledge to effect fair and prompt claim settlements. Determines when cases need to be elevated to a higher level. Presents information in a thorough manner and participates in their discussion when escalated.
• Reserving - Ensures claims are adequately and timely reserved by adjusting reserves or providing reserve recommendations to ensure that reserve activities are consistent with established guidelines.
• Processing - Reviews new claims, claim payments, reserves on computer system and corrects information as needed by inputting data in a concise, accurate and complete manner. Pays and processes claims within designated authority level. Resolves moderate to highest level of severity claims using high service-oriented file handling techniques as defined by established guidelines.
• Diary and File Review – Maintains current Diary, Workplan, and Activities via the Guidewire Claim System, updating status once reviewed and/or completed. Ensures all Workplan items are current prior to escalation for authority. Creates a Plan of Action “POL” for outstanding activities at diary review. Ensures reports and other documents are attached to the file timely and named appropriately.
• Negotiation and Settlement: Within assigned authority limits, negotiates and settles claims with policyholders, claimants, public adjusters, attorneys, AOB and other vendors.
• Reporting - Prepares large loss reports on complex claims excess office authority for manager review and escalation. Presents cases and participates in their discussion at claim committee meetings.
• Training - Assists as needed in mentoring less experienced examiners. Assists in identifying training needs and aids in the development, administration, and evaluating of training programs.
• Act in accordance with and be an advocate for Seibels Core Values (Respect, Collaboration, Accountability, and Transparency).
• Remains current with emerging practices and technologies to recommend appropriate business solutions.
• Performs other duties as assigned

Education / Experience:

• 4-year college degree preferred plus more than 5 years of property and /or liability (homeowners) claims handling experience, or a comparable combination of education and experience.
• Demonstrated technical expertise in claims management.
• Computer literacy and ability to use applicable software.
• Adjusters license required in the states in which the position handles, including completing the requisite continuing education requirements.
• Insurance certificates, courses, and/or professional designations a plus.