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Westfield Health

Making a healthy difference since 1919. We help people live healthy, happy lives and create more resilient businesses.

Senior Claims Representative – Estimator

Claims SpecialistClaims SpecialistFull TimeRemoteSeniorTeam 201-500Since 1919H1B No SponsorCompany SiteLinkedIn

Location

Ohio

Posted

1 day ago

Salary

Not specified

Seniority

Senior

Bachelor Degree4 yrs expEnglish

Job Description

• Review photos, reports, and other documentation from the inspection, to assess damage and prepare accurate estimates. • Utilize industry-standard estimating platform Xactimate, to produce detailed repair scopes. • Determine appropriate repair vs. replacement decisions based on best practices, jurisdictional code requirements, and policy coverage. • Validate the accuracy of insured and/or contractor submitted estimates and to negotiate discrepancies when necessary. • Apply current industry repair standards, materials pricing, labor rates, and construction methodologies. • Provide technical expertise to frontline claims staff. • Communicate clearly with customers, contractors, and vendors to explain scope and estimate decisions as/is necessary. • Document all file activity in accordance with company and regulatory requirements. • Support supplemental estimate reviews. • Ensure all estimates comply with company guidelines, state regulations, and industry’s best practices. • Maintain high levels of accuracy, productivity, and cycle time performance. • Provides support in negotiation of settlements with insureds, attorneys, and other insurance companies. • Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets. • Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards. • Establishes proper reserves for each claim based upon thorough investigation, evaluation, and experience. • Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations. • Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker. • Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing. • Contribute to continuous improvement efforts, guideline updates, and internal training initiatives.

Job Requirements

  • 4+ years of Claims Estimating experience.
  • Bachelor’s degree in Insurance, Business, Communications, Construction Management, or a related field and/or commensurate work experience.
  • Proficiency with Xactimate

Benefits

  • Associate in Claims (AIC) (preferred)
  • Xactimate Level 1–3 Certification
  • HAAG Residential & Commercial Inspector and/or Reviewer Certification

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