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Claims Representative - Liability

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Department: Claims

Promotion to this role is subject to availability.

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Role Overview

Role Description

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A liability claims representative primarily will handle a combination of PD and injury claims. Responsible for initiating prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Properly evaluate values in multiple jurisdictions to ensure proper reserve practices. Review insurance policies to determine coverage and assess the applicability of policy terms and conditions to the claims being investigated. Provide clear and accurate coverage opinions to internal stakeholders and insured parties. Engage in negotiation with claimants, legal representatives, and other involved parties to reach fair and timely settlements of both 1st and 3rd party claims

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Proficient in handling 3rd party property damage claims
Proficient with assessing coverage and determining liability
Familiar with claims guidelines
Recognizes and escalates complex issues appropriately
Professional email and phone communication
Open to feedback and coaching
Highly organized and deadline driven
Strong customer service and empathy
Effective time management skills
Team-oriented and collaborative
Self-motivated and dependable

Key Skills & Competencies

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Closing Ratio: 90%
Avoidable Escalations: 0
Team Recovery Goal: $3.2M
File Quality (DNM %): 15%
Success Ratio (#recovered/#closed): 16%

KPIs

Role Development

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Guidelines for Promotion into this Role

Beyond this Role

Common Next Roles

Senior Claims Representative - Liability

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