AU- External Claims Adjuster
Job Locations AU-QL-Fortitude Valley (Brisbane) Posted Date 1 month ago(19-10-2020 12 : 55 AM) Requisition ID 2020-11779 # of Openings 5 Category Claims
Purpose of Position
Under moderate or specialised supervision, resolve commercial and domestic losses, ensuring compliance with service level agreements and maintaining high production levels.
Key Responsibilities
Maintain expected case load of claims
Provide office and field based assessment and investigation of commercial, domestic and liability insurance losses from first advice to final settlement.
Provide support and advice to policy holders with respect to their claims.
Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
Investigate claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, by comparing claim information with evidence.
Set loss reserves and control claims costs
Settle claims after determining insurance carrier’s liability, client’s instructions, and authority levels required by obtaining demands and making offers to claimants, issuing settlement recommendations, making filings with regulatory agencies, disposing of salvage and pursuing subrogation when appropriate.
Effectively deal with service / product replacement providers
Recommend litigation when appropriate.
Present evidence at legal proceedings producing reports and other documents as evidence if applicable.
Comply with and maintain Service Level Agreements and Key Performance Indicators
Maintain company reputation and insurance product integrity by complying with federal and state regulations and service standards.
Maintain professional and technical knowledge through continuing education.
Conduct business development by calling on local businesses to solicit new business or maintain existing business.
Assist less-experienced adjusters with claims handling if required.
Provide assistance to other offices in the event of a Catastrophe, as required.
Key Crawford Behaviours
Customer Focus : Focus on understanding and meeting the customer's needs. Involves actively seeking information to understand internal and external customers’ circumstances, problems, expectations, and needs
Organisational / Time Management : Effectively prioritises work and meets deadlines. Involves allocating time and resources efficiently and effectively;
managing multiple assignments or tasks effectively.
Quality : Consistently produces high quality work. Involves professional presentation of documents, with high level of accuracy.
Communication / Interpersonal Skills : Communicates clearly and professionally with both internal and external clients.
Involves conveying information, both written and verbal, in a clear and concise manner.
Responsiveness : Responds to requests for information, emails and returns telephone calls promptly and professionally
Adaptability : Demonstrates tolerance for uncertainty; responds to changing circumstances by being innovative and altering behaviour to better fit different situations;
learn new skills, perform work in different ways; willing to be flexible.
Teamwork : Works cooperatively with others and build effective working relationships to accomplish common team goals and objectives.
Involves understanding team dynamics, fostering collaboration, providing a tangible contribution and listening and responding to the input of others in a manner that creates an environment of mutual trust and respect.
Willingness to transfer knowledge and skills as appropriate
Managers
Claims Administrators
State Manager
Support Staff
Insured
Service Providers
Experience / Knowledge Required
Substantial experience as a Loss Adjuster
Thorough knowledge of insurance terminology, practices and conditions
Understanding of basic business accounting procedures
Personal Attributes Required
Professional
Team player
Ability to operate autonomously
Ability to work to deadlines
Willing to undertake further study and training as identified to support and enhance position requirements
Technical Skills Required
Clear English and report writing skills
Professional and positive outlook
Strong organisational and interpersonal skills
Work without supervision
Client service focus
Good verbal and written communication skills
Good attention to detail
Adequate numeracy and literacy skills
Good computer abilities, preferably previous use of an electronic claims system
Education / Qualifications
Loss Adjusting qualifications preferred, or Professional qualifications applicable to the Loss Adjusting industry.
Member of the Chartered Institute of Loss Adjusters
Drivers Licence
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