Claims Representative

Title: Claims Representative

Reports To: Claims Manager

Location: East Lansing, MI

Department: Property/Casualty Claims Department

SET SEG is looking for a Claims Representative whose primary responsibilities will include claim handling of assigned auto and property claims for the Property/Casualty (PC) Department. This position will have responsibilities to provide customer claim support to the PC department and member districts.

WHO WE ARE

School Employers Trust (SET) is a non-profit company that was created after a monumental shift in school funding happened in 1965. SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees. Two years later, its partner organization School Employers Group (SEG) was formed to administer compensation and fringe benefits for SET. As schools were faced with more challenges related to insurance, SEG evolved and grew into a company that provides workers’ compensation and property/casualty services for Michigan public schools.

Today, SET SEG continues to expand and find creative ways to meet the specialized needs of its members. This, coupled with a superior member experience, is why SET SEG has maintained its position as an industry leader in the school insurance market.

We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave.

Our passion is delivering peace of mind to Michigan public schools and we look for team members who are motivated by our cause. To learn more, visit: https://setseg.org.

WHO YOU ARE

You are energized by working with a collaborative team and industry peers to support Michigan public schools through their challenges. You seek understanding and are motivated to tackle projects and problems with the customer in mind. You anticipate needs and preempt challenges and concerns, delivering increasingly relevant customer experiences over time. You value a culture that is rooted in mutual respect, where you can learn from different perspectives and roles.

Primary Responsibilities:

• Investigate and process assigned auto and property claims with a strong emphasis on auto physical damage claims.
• Assignment of vendors for claim activities and management of incoming vendor reports.
• Assist in salvage and subrogation as directed, to include monitoring of subrogation recoveries on assigned claims.
• Assist in member phone, e-mail, fax or correspondence regarding claim requests, processing, and other general PC activities.
• Prepare and review insurance claim forms, communications and correspondence to claimants and pool members in claims processing activities.
• Assist in client coverage explanations and correspondence as requested.
• Management of the ISO and CMS reporting requirements of the PC claim Department to include troubleshooting and tracking.
• Monitors outside investigators auto appraisers and independent adjusters.

Required Qualifications:

• Bachelor’s Degree preferred, with two years of commercial property/casualty claims experience.
• Willingness to participate in continuing education with industry recognized training with certificates in IIA, AIC or INS or other related IIA designations.
• Exceptional verbal and written communication skills.
• Self-motivated, capable of independent follow up, meeting deadlines, and multitasking.
• Ability to work in fast paced environment with efficiency, promptness, professionalism, and accuracy.
• Professional demeanor and good business judgment in stressful or time sensitive situations.
• Comprehensive knowledge of and ability to use Excel, Word, and other Microsoft office tools.
• Interaction with all SET SEG staff to understand core insurance processes and operations.
• Document and communicate claims decisions internally and externally in professional manner.
• Ability to work collaboratively with others.

Physical Demands / Work Environment

Several hours per day at a sit/stand desk, average mobility to move around an office environment; able to spend several hours per day at a computer. Punctual, regular, and consistent attendance is required.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.