What are the responsibilities and job description for the Claims Representative I or II position at Goodville Mutual Casualty Company?
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.