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Senior Claims Representative - Desk

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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 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.

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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

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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

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Guidelines for Promotion into this Role

Beyond this Role

Common Next Roles

Team Lead

Similar Roles

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