Job summary
Under close supervision, handles liability and property claims within designated authority.Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures.Participates in evening and Saturday shifts on a rotating basis.
Job seniority: entry level
Responsibilities
• Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws.• Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records.• Obtains additional information to determine liability.• Documents claim files and facilitates processing of claims in collaboration with other departments.• Assigns outside experts when necessary to assist in investigation and potential recovery.• Establishes contact with all parties involved in the claim in accordance with company expectations.• Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action.• Responds to inquiries from various parties.• Learns and maintains knowledge of liability laws, motor vehicle codes, and no fault/medical management/FPB laws.• Responds to intercompany arbitration applications, filing contentions and supporting documents.• Conducts research and stays current on policy changes, interpretation, or new legislation.• Provides support for property claims during periods of heavy volume.
Requirements
• High school diploma or GED and two years of related claims handling or customer service experience.• Bachelor's or Associate's degree preferred.• Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.• Obtain appropriate licenses as required by state within 45 days of employment (external applicants) or 90 days of employment (internal applicants).
Benefits
• Premier health, prescription, dental, and vision benefits for you and your dependents.• Low contributions to medical and prescription premiums.• Pension and 401(k) with up to 4% contribution match.• Paid time off (vacation, personal days, sick days, bereavement days, parental leave).• Career development opportunities including tuition reimbursement program.• Additional benefits such as life insurance, disability insurance, orthodontic coverage, adoption assistance, well-being programs, paid volunteer hours, and charitable gift matching.
