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.