Claims Associate

General Description 

To ensure agency clients receive timely and equitable claims service.

Investigates, negotiates, and aids in settling personal lines claims. Receives notification of claims, reviews policy, account instructions and process claim to conclusion in accordance with agency and insurance carrier policies.

Essential Duties And Responsibilities 

• First Reports – upon receipt of claim, responsible for completing claim file, which includes policy verification and making preliminary or tentative determinations of coverage.
• Input claims acknowledgments, direct reports, and claim payments into the computer system.
• Process claims mail.
• Act as a liaison between clients and third-party companies to resolve claim issues - process claims that are designated for internal claim handling, assigning the others to an outside claims adjuster.
• Check status of claims – every 30 days, initiate a follow up on all open or unsettled claims.
• Service and assist clients as necessary – process, record, monitor, and analyze all claims for personal lines clients as assigned, keeps Producer and Personal Lines Account Manager apprised of claims status.
• Follow DII procedures and workflows within Applied Epic.
• Exercise discretion and judgment in prioritizing workload.
  
  

Role Mission

This role exists to serve as an advocate for our clients, explaining policy coverage to clients and third parties and ensuring claims are resolved in a prompt, fair and courteous manner.

Qualifications

KNOWLEDGE REQUIREMENTS

• Strong personal lines knowledge with complete understanding of a broad range of coverage.
• Understanding of insurance industry and its various components including claims, carriers, intermediaries, brokers, and agents.
• Ethical and effective business practices.
  
  

Skill Requirements

• MS Office
• Internet navigation and use of websites
• Navigation of agency management systems
• Client Management
• Relationship Management
• Time Management
• Written and Verbal Communication
  
  

UNITED BY VALUES

Accept the responsibility of a professional career by reflecting DII’s core values.

• Integrity – doing what we say we will do maintains our personal integrity and consequentially the integrity of our team.
• Teamwork – showing up on time and being fully prepared to support our team.
• Servant Spirit – finishing what we start. A person coming to us in a time of need and getting them what they, when they want it, reflects our servant spirit.
• Pursuit of Excellence - giving people more than expected. People of excellence exceed expectations.
• Positive Attitude – showing gratitude reflects a positive perspective on life.
• Empathy – Be curious, not judgmental; understand the backpack.
  
  

Ability Requirements

• Gain mastery of Applied Epic
• Conflict resolution skills
• Attention to detail
• Personable, empathetic
• Analytical, organized, timely, efficient
• Sense of urgency, grace under pressure, adapt pace
  
  

 licensure Requirements

• Maryland Property & Casualty license