The AGL Claims Specialist: Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: • Receive assignments. • Reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business. • Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. • Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. • Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract. • Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. • Sets reserves within authority limits and recommends reserve changes to Team Leader. • Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. • Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. • Settles claims promptly and equitably. • Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. • Informs claimants, insureds/customers or attorney of denial of claim when applicable. • May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements. Continues efforts to settle claims before trial. • Refers claims to subrogation as appropriate. May arrange for salvage disposition or other recovery proceedings as necessary by line of business. • May participate in claim file reviews and audits with customer/insured and broker. Administers benefits timely and appropriately. Maintains control of claim’s resolution process to minimize current exposure and future risks • Establishes and maintains strong customer relations Depending on line of business, other duties may include: • Maintaining system logs • Investigating compensability and benefit entitlement • Reviewing and approving medical bill payments • Managing vocational rehabilitation • College degree or 7+ years’ experience handling claims in a relevant line of business, including Construction Defect claims. • Basic knowledge of claims handling and familiarity with claims terminologies • Effective negotiation skills • Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. • Ability to self-motivate and work independently • Knowledge of company products, services, coverage and policy limits, along with awareness of the company’s claims best practices • Knowledge of applicable state and local laws and ability to obtain necessary license