Claims Representative III - Napoleon, OH or New Holland, PA

Full Time
Napoleon, OH 43545
Posted
Job description
Description:

Nature of Job

Adjust and settle claims for all lines of business written by the company with settlement authority up to $30,000.

Duties and Responsibilities

  • Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
  • Verify policy coverage on assigned losses.
  • 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 $20,000.
  • 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 by the Claims Manager or Supervisor.
Requirements:
  • High school education.
  • Three to five years’ Property and Casualty claims experience.
  • AIC (Associate in Claims) designation.
  • Knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved.
  • Ability to learn the coverages of all insurance policies written by the company.
  • Effective communication and negotiation skills.
  • Ability to work effectively with company computer systems.
  • Involvement in insurance related seminars and continuing education.
  • Commitment to company values and customer service.
  • Ability to perform the essential functions of the job with or without reasonable accommodation.

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