What are the responsibilities and job description for the Claims Representative position at Mutual Benefit Group?
JOB SUMMARY
The Claims Representative investigates, evaluates, and settles multi-line claims within established authority level.
SPECIFIC Duties include:
- Determines coverage and investigates claims
- Determines liability
- Determines amount of loss/damage
- Reviews and interprets policies to determine coverage
- Makes personal, written, or telephone contact with general public, reporting agencies, and suppliers of goods/services
- Determines settlement values
- Reviews reserves and modifies as necessary within established authority or seeks appropriate approvals
- Develops and documents claims files
- Negotiates with insureds, claimants, or legal representatives
- Issues claim and expense payments securing appropriate approvals for check requisition on claims exceeding authority
- Ensures compliance with the Unfair Claim Practices Act and Good Faith Claim Handling regulation
- Performs other miscellaneous duties as assigned or directed.
CANDIDATES MUST POSSESS:
Education Requirements:
- Applicants must possess a Bachelor's degree or equivalent education and experience combination
Skills / Competencies:
- Proficient interpersonal relations and communications skills (both written and verbal)
- Thorough knowledge of claims law
- Proficient analytical and problem-solving skills
- Moderate computer knowledge
- Demonstrated organizational and time management abilities
- Demonstrated abilities to deal with a variety of personalities
- Minimum of two years' experience with investigation, management, and negotiations of liability and property claims in MBG states of operation
Additional Information
Full benefits package, including health, dental reimbursement, vision, 401(k) and Roth 401(k), and PTO, starts the first of the month following employment.
Equal Opportunity Employer
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