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    Specialty Claims Representative - Gainesville, United States - Tower Hill Insurance Group

    Tower Hill Insurance Group
    Tower Hill Insurance Group Gainesville, United States

    3 weeks ago

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    Description

    Job Description

    Job DescriptionDescription:

    This role is open in Gainesville, FL, Cincinnati OH, and Lexington, KY.

    Tower Hill Insurance Group has an exciting opportunity for two talented Claims Representatives who enjoy intellectual challenges and are seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry.

    The Claims Representative is responsible for reviewing, analyzing, and processing first-party homeowner and dwelling property claims across multiple states and assists with Florida claims handling when needed. They assess the extent of insurance liability, conduct thorough investigations, and make coverage and loss decisions according to policy provisions and applicable laws. The role involves providing exceptional customer service to policyholders while ensuring accurate documentation and communication throughout the claims process.

    Requirements:

    Essential Duties and Responsibilities:

    • Review and analyze first-party homeowner's claims to determine insurance carrier liability.
    • Conduct thorough claim investigations, including obtaining physical evidence and developing theories of liability.
    • Evaluate damaged property and recommend appropriate settlements or denials.
    • Communicate findings verbally and in written reports to policyholders and supervisors.
    • Maintain detailed documentation and file notes in accordance with company guidelines.
    • Collaborate with internal and external resources, such as adjusters, experts, and consultants, as needed.
    • Recognize and submit subrogation, underwriting, and fraud referrals as necessary.
    • Provide prompt and professional customer service via phone, email, and mail.
    • Ensure compliance with customer service objectives and company guidelines.
    • Mentor and assist in training lesser experienced employees and vendors involved in claim investigations.

    Qualifications:

    • Bachelor's degree or equivalent professional education and experience.
    • Minimum 1 year of related property adjusting experience.
    • Successful completion of claims-related education or industry coursework preferred. Knowledge of insurance principles, loss adjustment, estimating software, and residential construction.
    • Ability to make informed coverage and loss decisions based on thorough investigations.
    • Strong communication, organization, and customer service skills.
    • Adherence to state statutes and claim handling requirements.

    Certificates, Licenses, Registrations:

    • Florida Adjuster License – All Lines (620)
    • Ability to obtain and maintain licenses in Alabama, Arizona, Arkansas, Florida, Georgia, Indiana, Kentucky, Louisiana, Michigan, Mississippi, North Carolina, Pennsylvania, South Carolina and Texas

    We offer competitive pay and benefits, and well-being programs to support you and your family. For more information about our company, careers and Total Compensation visit: Total Compensation - Tower Hill Insurance )

    *Tower Hill Insurance currently operates in these states AL, CT, FL, GA, IA, IN, KY, MI, MS, NC, OH, PA, SC, TN, TX, UT, VA, WV. The work location is flexible if approved by Tower Hill Insurance.

    Tower Hill Insurance is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    Tower Hill Insurance is committed to working with and providing reasonable accommodation for individuals with disabilities. If you need reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to or call and let us know the nature of your request and your contact information.

    All applicants will receive an acknowledgement that their application has been received. Candidates will not receive status updates regarding their application; however, those candidates selected for further consideration will be contacted by Human Resources.

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