Ohio Farmers Insurance Co
2000000I Requisition #
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LOCATION: Selected candidate can work in Ohio, Kentucky, Orlando, Fla., Duluth, Ga. 
SALARY RANGE: $62,968.00-81,858.00


You will be challenged. Rewarded. And valued for your unique experience, background and perspective. 
Join a team where hard work pays off and original thinking is celebrated. As you build your future at Westfield, you will quickly learn that protecting our customer’s future is at the heart of what we do. We deliver on our promise to help restore lives and rebuild businesses when the unexpected happens. Building relationships has been a part of our culture since 1848. 

Be a part of a team that recognizes and appreciates those who take initiative, seek opportunity and strive for innovation in a changing world.

Sr. Casualty Claim Representative Job Summary

Works within significant limits and authority on claim assignments of higher technical complexity and coordination. Determines coverage and investigates, analyzes, negotiates and settles claims not typically requiring outside investigation while delivering quality customer service in a moderate to high volume, moderate complexity work environment.

Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation.

Essential Functions (primary functions and/or reasons the job exists in order of importance)

1. Coverage/Investigation/Liability - Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution. Monitors ongoing case development for appropriateness.

2. Damages - Determines the value of the physical damage of property, automobiles, or injuries through use of appropriate tools. Obtains all necessary documentation to support claim evaluation. Recognizes claim file exposures and escalates appropriately.

3. Communication - Maintains effective and ongoing communications with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel.

4. Customer Service - Ensures customer service excellence. Responsible for the customer and agent experience associated with assigned claims.

5. Reserving/Reporting - Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience. Completes appropriate reports so that the current status of the claim is clearly documented at all times.

6. Negotiation/Settlement - Within decision making authority, negotiates timely and appropriate settlements with insureds, claimants, vendors, attorneys, and other insurance companies. Refers claims exceeding authority to appropriate leader or complex claims specialist with recommendations.

7. Leader Assistance - May assist and direct office staff at Unit Leader direction.

8. Coach/Mentor - May provide technical guidance and assistance to lower level associates and other functional areas.

9. Travel - Travels occasionally to participate in special assignments, training, storm duty and/or travel between office locations.

Desired Qualifications/Experience/Certification/Education (in order of importance)

1. 5 or more years’ experience adjusting casualty claims.

2. Experience negotiating claims and handling conflict.

3. Experience using a claims management system e.g. Guidewire or diary management system to accurately document file activities.

4. Strong written, verbal, and interpersonal communication skills with the ability to interact with all levels of the company.

5. Experience with Microsoft Windows, Outlook, and Excel or transferable software packages.

6. Holds and maintains appropriate adjuster licensing and certification(s) in assigned territories and will obtain additional licensing based upon business needs.

7. Insurance industry designation such as AIC, SCLA, CPCU, etc.

8. Valid driver’s license and a driving record that conforms to company standards.

9. Bachelor’s Degree or commensurate experience.

Physical Requirements (specific to the role)

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

* Ability to work effectively in an office environment for 40+ hours per week (including sitting, standing and working on a computer for extended periods of time).

* Ability to communicate effectively in a collaborative work environment utilizing various technologies such as: telephone, computer, web, voice, teleconferencing, e-mail etc.

* Ability to travel as required.

This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

Westfield offers a Total Rewards program that focuses on compensation, benefits and wellness, and includes perks like 401(k), pension plan, annual incentive, education reimbursement, flex-time, onsite fitness center and casual dress. Work-life balance, recognition, and learning and career development are all part of a rewarding career with Westfield.

To learn more about Westfield and the opportunities available, please visit us at westfieldinsurance.com.

We are an equal opportunity employer/minority/female/disability/protected veteran.

Applications for positions posted on Westfield Careers must be filed on-line through the Westfield Careers portal.  If you are a disabled person who requires a reasonable accommodation to complete an online application, please contact HR Assist by email at hrassist@westfieldgrp.com.

We are an equal opportunity employer/minority/female/disability/protected veteran.

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