Senior Claims Representative - Desk


Department: Claims
Promotion to this role is subject to availability.


Role Overview
Role Description

A Senior Homeowner Claims Adjuster is responsible for independently managing and resolving complex property claims with strict adherence to all policies, guidelines, and regulatory requirements. This role requires disciplined coverage analysis and the confidence to make and fully own claim decisions, including clear documentation and rationale. The adjuster is highly proficient in estimating and capable of producing accurate, defensible estimates for complex losses, while effectively negotiating scope and pricing with contractors. Candidates are expected to be pursuing or have attained AIC certification, reflecting advanced technical expertise and commitment to the profession.

Works independently
Strict adherence to all policies and guidelines
Makes disciplined coverage decisions
Capable of writing complex estimates
Pursuing/Attained AIC Certification
Clear and concise, professional communication
Owns the claims decisions they make
Negotiates effectively with contractors
Key Skills & Competencies

CSAT: 75-85% Meets
HiMarley: 90% CWP
Productivity: 6-11.25/wk - increased complexity over representative
Closing Ratio: 100% (15 day lag)
Cycle Time: 15 days
Estimate Accuracy: 94%
File Quality: <15% Does not meet
KPIs
Role Development
Guidelines for Promotion into this Role
Beyond this Role
Common Next Roles
Team Lead
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