Claims Representative – Medical Only

Role Overview

• Manages an inventory of claims to evaluate compensability/liability.
• Conducts claim investigations to confirm coverage and to determine liability, compensability, and damages.
• Determines and may negotiate appropriate claim settlements/reserves within prescribed authority.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• Performs other duties as assigned.

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
• A minimum of 6 months of experience in property and casualty claims handling.
• Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
• Demonstrates functional analytical, negotiation, and problem-solving skills.
• Knowledge of insurance policies, coverage, and claims handling procedures.
• Ability to organize and prioritize caseloads, ensuring timely resolution of claims.
• Proven ability to handle confidential information with discretion.

Benefits

• We offer competitive benefits packages for full-time and part-time employees*.
• Full-time employees have access to medical, dental, and vision coverage.
• Wellness plans.
• Parental leave.
• Adoption assistance.
• Tuition reimbursement.
• Paid Time Off and paid holidays for full-time and eligible part-time employees.
• A 401(k) plan with company match.
• An employee stock purchase plan.
• Commuter benefits.