We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Builds rapport with each customer. Listens to customers' requests and inquiries. Works to retain policyholders who inquire about canceling auto policies through open listening, negotiating, and policy review of customer issues. Uses de-escalation tactics and when necessary, escalates to appropriate team. Processes policyholder transactions accurately and within Customer Response Center established time standards. Interprets policy contracts to insured based on expert knowledge of personal lines auto products. Identifies, understands and interprets customer needs to implement resolutions and makes recommendations for coverage enhancements. Understands aspects of billing systems as it pertains to policy coverage. Identifies and communicates transactions and impact to policy premium. Evaluates and makes decisions regarding exceptions to payment plan and fees. Manages and utilizes time effectively to ensure department meets required service levels for improved customer satisfaction results. Proficiently utilizes on-line reference materials relating to auto policies to provide confident, accurate, and efficient service. Develops and maintains product, procedural and technical systems knowledge. Completes licensing and continuing education requirements. Utilizes technical systems, effectively and efficiently, including desktop, call center specific phone systems and has required internet connectivity. Performs additional duties as assigned. Associates degree and 1+ year Insurance experience preferred. 3-5 years related Customer Service experience is required. Ability to review, record and organize written data from a variety of sources with no prescribed format is essential. Excellent communication and interpersonal skills are required. 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Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Accountable for security of financial processing of claims, as well as security information contained in claims files. Responsible for managing the practices and billing activities of outside and in-house counsel. May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. May be involved in special projects and/or mentoring at the direction of local management. Senior Claims Resolution Specialist II 5+ years of litigation experience Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities Must have an expert knowledge of coverage, liability, and complex claims handling procedures. Must be able to effectively handle claims at the highest technical and complexity level. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. 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Gather and document product requirements, clearly communicate requirements to stakeholders, and ensure accurate implementation. Act as the subject matter expert for the pricing program and assigned states, provide thoughtful recommendations that influence state decisions and help drive corporate strategy. Lead cross-functional workstreams and manage moderate to high complexity projects. Conduct complex analyses to drive and support business decisions; where necessary, conduct in depth research of competitor offerings and filings. Educate IT partners on business vision and plan, and both IT and business partners on the impact of changes. Independently manage project timelines, flag risks and develop contingency plans, escalate blockers as appropriate. Regularly update leadership and stakeholders on project progress, addressing concerns and managing communication channels. Lead job shadow discussions with less experienced analysts. 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Help execute the SDI vision and value proposition that recognizes changing business and competitive environment dynamics, key business drivers, and financial elements. Support and execute SDI business strategy to successfully propel the product and client segments into a significant, profitable, sustainable, and long-term marketplace leadership position. Develop, leverage, and maintain internal and external stakeholder relationships. Utilizing data, analytics, and technology to improve Underwriting risk selection and portfolio management. Special projects as assigned. Bachelor's Degree in Finance, Construction Management, Accounting, Risk Management and Insurance or business related field typically required. A minimum of 3 years experience preferably in the construction industry. 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!important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} .fa-brands{-webkit-font-smoothing: antialiased; font-style: normal; font-variant: normal; line-height: 1; text-rendering: auto;font-family: 'Font Awesome 6 Brands'} .position-details li{list-style-type: disc;} .header-wrapper{display:none!important;}.disability p {text-align:center!important;background-color:#F0F0F0!important; height:45px!important;padding-top:12px!important;} .disability a {color:blue!important;text-decoration:underline!important;} @media only screen and (max-width: 1325px){.disability p {height:67px!important;}} @media only screen and (max-width: 675px){.disability p {height:92px!important;}} @media only screen and (max-width: 480px){.disability p {height:114px!important;}}h4{margin-top: 5px;font-weight: 600;}