Claims Representative III (Part-Time)

Description

Summary:

This part-time position is responsible for adjusting and settling claims for all lines of business written by the company with settlement authority up to $30,000.

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 claims for proper settlement.
• •Negotiate with claimants, insureds, and attorneys when necessary.
• •Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary.
• •Pursue subrogation, salvage, and third-party liability contribution.
• •Communicate with Claims Supervisor or Manager regarding complex claims when assistance is necessary.
• •Manage claims that go to litigation and notify Claims Supervisor or Manager of all claims that exceed settlement authority of $30,000.
• •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.
• •Three to five years’ Property and Casualty claims experience required.
• •AIC (Associate in Claims) designation required.
• •Knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved required.
• •Ability to learn the coverages of all insurance policies written by the company required.
• •Effective communication and negotiation skills required.
• •Ability to work effectively with company computer systems required.
• •Involvement in insurance-related seminars and continuing education 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.