SUMMARY:
The Property Claims Representative is responsible for handling commercial property claims for Property Casualty Alliance of Texas (PCAT) members, providing excellent customer service, and exercising good judgment, based on established procedures and best claims practices, following statutory, regulatory, and ethics requirements.
ESSENTIAL FUNCTIONS:
- Conduct detailed investigations into loss to buildings or property to verify claim validity; engage experts (if needed); perform inspections of damaged property or sites
- Assess the extent of damage or loss related to the claim; determine policy coverage and applicability
- Maintain detailed and accurate records of all claim activities; accurately and effectively document the claim with all pertinent activity and rationale for decisions made and actions taken; prepare necessary reports and documentation for claim files
- Work with experts, third-party service providers, PCAT members, and other parties to establish an agreed scope and cost of loss
- Effectively communicate with members regarding the status of their claims; coordinate with other departments or third-party service providers, as needed
- Ensure all claims processes comply with regulatory requirements and company policies
- Provide excellent and professional customer service to all PCAT members; assist members with understanding the claims process and insurance terms
- Approve or deny claims based on findings; facilitate prompt and fair settlements
- Effectively manage the financial transactions associated with the claim including, but not limited to, reserves, payments, and reinsurance recoveries
- Review all activities relating to the public, members, and companies to avoid issues involving potential errors and omissions
- Participate in seminars and other training to maintain required licenses and for knowledge and skill development
ADDITIONAL RESPONSIBILITIES:
This job description is intended to describe the level of work required of the person performing the position. Essential functions are outlined; however, other duties may be assigned, as needs arise, or as required to support the essential functions. Specific performance objectives may be developed each year to measure the performance of the tasks and functions listed in this job description.
Telecommuting opportunities vary by location, department, and business need and are subject to change, as needed. Each manager will provide details on any telecommuting opportunities, as well as scheduling, within their department.