Claims Processor - Casualty

Location: Corporate Office (Fort Wayne, IN)

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

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.

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.

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.

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”.

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.