Claims Representative III

Role Overview

• Manage claims of moderate to high complexity with minimal supervision and guidance from the manager utilizing current Claim technology.
• Conduct thorough investigations in order to determine coverage, evaluate damages/benefits, and liability/compensability.
• Negotiate settlements with insureds, claimants, and attorneys.
• Maintain proactive file management and adequate reserving.
• Participate in training activities.
• Consistently exhibit a high level of customer service.
• Adhere to department audit guidelines.
• Participate in projects and initiatives as needed.

Requirements

• 4-6 years of experience in claims handling
• Prior experience managing claims with moderate complexity
• Proficiency with computers and current technology
• Interpersonal skills
• Oral and written communication skills
• Time management skills
• Customer service skills
• Negotiation and problem-solving skills
• Conflict resolution skills
• Bachelor’s degree in business, Insurance or related field
• Associate in General Insurance designation
• Associate in Claims designation
• Licensed in jurisdictions where required

Benefits

• Medical & Prescription Insurance
• Health Savings Account
• Dental Insurance
• Vision Insurance
• Short and Long Term Disability
• Flexible Spending Accounts
• Life and Accidental Death & Disability
• Accident and Critical Illness Insurance
• Employee Assistance Program
• 401(k) Plan with Company Match
• Pet Insurance
• Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire.
• Enhanced PTO may be available for experienced candidates
• Bonus eligible based on performance