Claims Representative I

Description

Summary:

This position is responsible for adjusting and settling claims for all lines of business written by the company with settlement authority up to $7,500.

Functions:

• Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
• Verify policy coverage on assigned claims.
• Investigate and evaluate assigned claims for proper settlement.
• Assign independent adjusters and appraisers when necessary.
• Pursue subrogation, salvage, and third-party liability contribution.
• Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $7,500.
• Establish proper reserves on assigned claims.
• Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager.
• Attend claim seminars and participate in claim associations.
• Perform other duties as assigned.

Requirements

• High school education required.
• Minimum of one year of work experience in a customer service role preferred.
• Ability to learn the coverages of all insurance policies written by the company required.
• Effective communication skills required.
• Ability to work effectively with company computer systems required.
• Willingness to participate in insurance related study courses preferred.
• Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota) and travel to vendor work sites required.
• Ability to work in an office environment with moderate noise level, remain in a stationary position and operate a computer a majority of the time required.
• Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required.
• Ability to perform the essential functions of the job with or without reasonable accommodation required.