Puppy Dreams

• Initiate the investigation of new claims • Evaluate coverage and make appropriate policy decisions • Evaluate and negotiate settlements of collision, specified perils, and property damage • Manage and oversee the work of outside adjusters and appraisers • Develop basic understanding of liability and coverage principles • Recognize state specific laws and claims regulations • Summarize and make recommendations for disposition of claims • Respond to time sensitive materials including intercompany arbitration hearings • Manage a diary system to systematically review and resolve claims • Maintain state license

• The Claims Adjuster actively adjusts claims while ensuring that business development opportunities are maximized. • This involves marketing and follow-up of opportunities in a timely manner. • Prompt contact and follow up with policy holders and claimants. • Investigate the cause and report to clients with solid recommendations. • Using supplied technology (e.g., Docusketch.), scope and establish quantum of damages. • Identify exposures, recommend reserves, recommend investigation required for exposure, prepare action plans, and negotiate fair and satisfactory settlements. • Throughout the claims process, you will provide high level of customer service to clients and the insured. • You will participate and share ownership and responsibility for after-hours customer service requirements when required • Perform duties assigned to him/her in compliance with established work standards, policies and procedures

• Facilitate incoming benefit plan calls and emails by providing excellent customer service (responding to queries, providing information, problem solving, guidance on filling out paperwork) • Maintain records of group insurance benefits in relevant system databases • Receive and process applications for enrollments, change in benefits, coverage for over-age dependents/disabled dependents • Establish and maintain strong relationships with insurance providers • Liaise with the insurance carrier representatives and other key stakeholders to provide problem-resolution for members experiencing benefit related issues, when required. • Facilitate incoming disability (STD, LTD) calls and emails by providing excellent customer service (responding to queries, providing information, problem solving, guidance on filling out paperwork) • Proactive management of disability claims including situations of a complex nature. • Communicates with claimants and external partners regarding case adjudication and return to work planning • Maintains effective working relationships with providers of short term and long-term disability products and services related to effective disability case management • Review of internal processes and policies with a view to continuous improvement

• Initiate the investigation of new claims • Make coverage decisions based on the Named Peril Policies • Evaluate settlements of personal property damage as appropriate • Establish contact with the insured and storage facility within established protocol • Recognize coverage issues and bring them to the attention of the supervisor • Develop basic understanding of all entities under this program and their corresponding certificates and policies • Recognize state specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation including sending and securing proper documentation • Respond to time sensitive material including but not limited to department of insurance complaints • Manage a diary system to systematically review and resolve claims within the specified state and client compliance guidelines • Maintain state license by completing continuing education coursework and/or work towards a claims designation • Other duties as assigned by the claims supervisor.

• Initiate the investigation of new claims • Make liability/coverage decisions • Evaluate and negotiate settlements of collision, specified perils, property damage, and liability losses as appropriate • Manage and oversee the work of outside adjusters, appraisers and experts • Establish contact with the insured and claimant within established protocol • Recognize coverage issues and bring them to the attention of the supervisor • Develop basic understanding of liability and coverage principles • Recognize state specific laws and claims regulations throughout the United States to insure proper compliance in claims investigation including sending and securing proper documentation • Complete research to determine market value on automobiles and heavy equipment to make recommendations on total loss settlement values using proper state valuation methods • Summarize and make recommendations for disposition of claims in excess of the individual settlement authority • Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints • Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines • Maintain state license by completing continuing education coursework and/or work towards a claims designation • Handle small claim suits as needed

• Provides administrative support for client claims • Maintains Claim Databases • Sets up all new claims within the required time frame • Answers all phone calls for client programs • Provides follow up to all open claims in client systems and claim files • Fills in on other programs when needed • Attends monthly team meetings • Other duties as assigned

• Answer incoming calls for new claims • Make outgoing calls for messages received regarding new claims • Enter new claim information into the client website • Messages examiner with information regarding existing claims • Communicates with insureds and co-workers in a professional, positive and proactive manner. • Work collaboratively across all internal departments. • Adhere to all company and department personnel policies and procedures. • Other related responsibilities and tasks as assigned by your immediate supervisor or other management as directed.

• Act as a technical reference for the team (complex files, settlement strategies) • Support adjusters with their files (analysis, coverage, direction) • Conduct targeted quality reviews (reports, reserves, client compliance) • Provide coaching and support the development of adjusters • Contribute to the continuous improvement of practices and standards • Collaborate with Directors to support overall performance

• The National Account Manager will be accountable for the development and implementation of national internal processes to support ClaimsPro operational leadership and enable adjusters to understand and meet insurer expectations. • Supporting the Director of IMS, The National Account Manager will also be responsible for measuring national account performance, communicating the results to insurer and internal stakeholders, and developing strategies to drive better outcomes. • Working within a team environment, the incumbent will be responsible for continuously working to enhance and develop strategic relationships with key insurer clients.

• Review call report and ensure call has terminated properly, then forward accurate and complete call reports as required. • Provide personalized customer service of the highest level • Arrange for the dispatch of adjusters or vendor partners when required • Field and answer branch inquiries and administer to appropriate area • Maintain database of service lapses reference for root cause, report trends and make recommendations to management • Review claim information to determine proper next steps for processing against client guidelines/service agreements