Homeowner Large Loss Specialist/Home based teleworker

Job Title

Homeowner Large Loss Specialist/Home based teleworker

Requisition Number

R2009 Homeowner Large Loss Specialist/Home based teleworker (Open)

Location

California - Home Teleworkers

Additional Locations

Arizona - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, Indiana - Home Teleworkers, Maryland - Home Teleworkers, Nevada - Home Teleworkers, New Jersey - Home Teleworkers, Ohio - Home Teleworkers, Oklahoma - Home Teleworkers, Pennsylvania - Home Teleworkers

Job Information

Job Summary

With limited supervision, is responsible for full ownership of 1st-party property losses without limit and has settlement authority up to $125,000 in structural damage. With supervision oversight, handles claims up to policy limits for all 1st-party coverages. Provides direction regarding the investigation of the loss and will work with representatives from SIU, Subrogation, Bureau Litigation and Claims Coverage Question Unit as needed in completing this task; responsible for providing recommendations to management pertinent to these losses. Additionally, works with insureds, contractors, public adjusters and attorneys to resolve highly complex claims to conclusion throughout all states where CSAA IG provides homeowner policies. Responsible for developing structural repair bids using approved estimate writing program for claims classified as large losses. May be required to respond to catastrophe situations outside of normal work area.

Essential Functions / Principal Responsibilities

  • Responsible for the investigation and evaluation of extremely complex, high-value property claims requiring expert knowledge of construction techniques and processes.
  • Must coordinate and direct outside experts in determining the cause of loss and potential subrogation opportunities as well determining engineering issues. Extensive travel by car and/or plane.
  • Handles multiple states and must understand the laws and regulations of each.

Responsible for resolution of large complex claims that many times do not present a clear-cut solution.

  • Must determine a course of action and negotiate with public adjusters and attorneys.
  • Resolution may require use of experts such as attorneys or appraisers.
  • Responsible for evaluation of personal property losses associated with dwelling losses.
  • Determines or oversees vendors who determine damaged from undamaged property, assess repairability and price the value of each item claimed.
  • Assesses building damage, determines the scope of necessary repairs and writes an estimate to rebuild the home.
  • Negotiates with insureds, contractors, engineers and public adjusters to arrive at an agreed cost-of-repair.
  • Consults with outside legal counsel on complex coverage issues.
  • Responsible for analyzing and recommending course of action and settlement authority, presenting this information on high-value claims to Senior Management/Loss Committee for authority.
  • Has a high settlement authority and the ability to make decisions involving damage assessment and evaluation.
  • Participates in legal processes, including acting as Person Most Knowledgeable for Examination under oath or as representive for CSAA IG for subrogation and similar legal processes.
  • Provides technical guidance to lower-level adjusters; may include training development and delivery.
  • Acts as Subject Matter Expert.

Knowledge, Skills and Abilities Required:

Proficient with Xactimate repair estimating system

In-depth understanding of home repair process

Understanding of multi-state policy fair claims settlement practices

Strong analytical and problem solving skills

Proven customer service skills

Strong negotiation skills

Effective organizational and time management skills

Ability to type 30 wpm

Strong written and verbal communication skills

Education, Work Experience, Licenses & Certifications Required:

BA/BS or equivalent combination of education and experience

5+ years homeowner claims experience

2-3 years experience with Xactimate or similar estimating system

Valid driver's license with insurable driving record

Ability to acquire DOI adjusting license in the states where required

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