Claims Processor - Casualty

Job Title: Claims Processor - Casualty

FLSA Status: Non-Exempt

Job Family: Claims

Department: Casualty Claims

Location: Corporate Office (Fort Wayne, IN)

JOB SUMMARY
Responsible for effectively analyzing and resolving assigned minor casualty claims consistent with claims
department standards and company objectives.

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.

• Identify and investigate coverage, damage and reserve adequacy issues on assigned claims.
• Apply statutes, common law, and other applicable legal concepts.
• Identify liability issues and communicate this to supervisor for possible file transfer.
• Communicate with policyholders, agents, claimants, medical providers and other persons as
  needed.
• Direct independent adjusters, appraisers, and other support service providers to ensure effective
  and efficient claims resolution.
• Acquire, record and maintain all essential file documentation in accordance with established
  guidelines.
• Provide timely status reports regarding assigned claims to management and others.
• Identify and pursue cost containment/loss mitigation opportunities.
• Negotiate and resolve all assigned claims within established settlement authority in a prompt, fair
  and equitable manner.
• Participate and provide input in regularly scheduled departmental meetings involving collective
  decision making.
• Travel as needed to attend training programs and to conduct investigation relating to claims
  resolution.
• Further the attainment of overall claims department objectives by assisting other claims personnel
  as requested.
• Complete other projects 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. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.

• Must be able to effectively communicate with others (both oral and written).
• Must be able to make independent decisions.
• Must have strong interpersonal and organizational skills.
• Must have the ability to handle confrontational situations in a productive manner.
• Experience in investigation, customer service, and/or negotiation would be beneficial.
• Insurance, legal and/or medical knowledge would be of benefit.
• Should be able to sit for prolonged periods of time.
• Effectively interface with external contacts, Brotherhood employees, managers, and department
  staff members.

EDUCATION AND/OR EXPERIENCE
List Degree Requirement, Years' Experience, and Certifications

• Must have a high school diploma or equivalent.
• Must fulfill required adjuster licensing requirements.
• Bachelor’s degree or equivalent related work experience desired.
• Insurance related course work would be of benefit.

Terms and Conditions

This description is intended to describe the general content of and requirements for the
performance of this position. It is not to be construed as an exhaustive statement of duties,
responsibilities, or requirements.

Because the company’s niche is the church and related ministries market, and because effective
service requires a thorough understanding of this market, persons in this position must be
familiar with church operations and must conduct themselves in a manner that will neither
alienate nor offend persons within this target niche.

Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this
position description in any way the company desires. This job description in no way implies that
these are the only duties, including essential duties, to be performed by the employee occupying
this position. This position description is not an employment contract, implied or otherwise. The
employment relationship remains “at-will”.