Claims Representative
WFH Flexible Harrisonburg, VA
Job Type
Full-time
Description

POSITION MISSION: Provide prompt contact, investigation, and coverage determinations of assigned claims while demonstrating a high level of customer service.

POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Contact insureds, claimants, and all other relevant parties to facilitate the processing of claims.
  • Investigate claims promptly according to policy provisions while promoting a high level of customer service.
  • Demonstrates a comprehensive knowledge of insurance policies and Rockingham guidelines to provide coverage determination through policy interpretations.
  • Identify claims having potential for increased exposure, such as third-party bodily injury claims, referring to Claims Supervisor as applicable.
  • Provide policyholders and claimants guidance throughout the claim process.
  • Maintain an effective claim diary system through accurate documentation of all claim activities in accordance with established procedures.


OTHER DUTIES:

  • Support claims supervisor as requested
  • Other duties as assigned


KNOWLEDGE, SKILLS, AND ABILITIES:

The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily.

  • Ability to work comfortably and grow in a fast-paced high volume call environment
  • Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction 
  • Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities 
  • Demonstrate the ability to multitask across multiple platforms routinely 
  • Demonstrates personal computer literacy and effectively uses all relevant company automation. 


CORE COMPETENCIES:

  • Attention to detail
  • Critical thinking
  • Time management
  • Organization
  • Communication skills


QUALIFICATIONS:

  • High school diploma or GED required; undergraduate degree preferred. 
  • One year of experience working in the insurance industry preferred.
  • Proficiency in Microsoft Office products
  • Strong oral and written communication skills displaying professionalism in language, tone, and style to understand client needs and feedback.
  • Projects a positive, professional image knowing they represent the company to the customer.





PHYSICAL DEMANDS:

  • Position operates in a professional office environment and routinely uses standard office and mobile equipment such as computers, phones, and photocopiers.
  • Largely sedentary role with majority of work performed using a computer and phone.


Please note, this position description is not designed to cover a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.