Claims Associate - Hybrid or On-site

Overview

As the Claim Associate, you will be responsible for handling tasks involving claims related items including but not limited to: adjusting low complexity claims, opening exposures on claim files, entering contact information into vendor systems, claim vendor payments and drafting claim correspondence. You will complete a variety of items in tandem with other departments to make sure customer and organization needs are being met.

This role requires strong customer service orientation as well as the ability to use critical thinking skills and make claim decisions with minimal guidance. You will work to create exceptional customer experiences while contributing to individual and team goals.

To be successful in this role, you will handle low complexity first-party automobile and property claims with the opportunity to handle some moderate complexity claims to foster development. As the Claim Associate, you will work closely with leadership and organizational training resources to become familiar with standard claim concepts, practices, and procedures.

You will perform a variety of claims related tasks, and a certain degree of creativity and autonomy will be necessary.

• Adjusts low complexity claim files to company standards.
• Handles opening new exposures as assigned.
• Creates settlement letters for claims as requested.
• Collaborates with other departments as needed to ensure claim handling quality.
• Provides correspondence between departments and customers to achieve resolution to the customer questions and claim handling.
• Acts as first point of contact for customers, agents, and third parties via multiple platforms, including phones and emails.
• Investigates coverage and cause of loss on low complexity claims, which includes but is not limited to policy review, interviewing all parties associated with the loss and gathering and analyzing all necessary investigative documentation.
• Identifies exposures and refers files or features for triage to the appropriate level.
• Provides accurate assessments and negotiates fair and efficient claims resolutions while managing costs. Settles losses according to the documented damage, the language of the policy of insurance, pertinent regulatory and statutory considerations and within granted authority.
• Prepares written communication, including but not limited to settlement letters.
• Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated.
• Assigns and supervises field examiners and vendor resources, including but not limited to independent adjusters, engineers and other experts as needed.
• Obtains adjuster licensing as required.
• Issues payments on claim files.
• Acquires and maintains applicable adjuster licenses in all states where required.

• High School Diploma or equivalent education is required.
• Adjuster License preferred.
• Ability to take responsibility and work independently in a home-based environment.
• Strong communication and analytical skills are required.
• Ability to negotiate skillfully in difficult situations.
• Must have strong organizational and time management skills. Ability to formulate sound expense, indemnity, and business judgment while supporting loss evaluations and presenting them effectively.
• Basic computer skills including Microsoft applications Word, Excel, Outlook and the Internet.
• Perform work related simple and advanced mathematical problems and calculations.
• Compose written correspondence and factual reports which are well-organized and concise, utilizing proper English, grammar, punctuation and spelling.
• Demonstrates the ability to use commonly-used claims concepts, practices and procedures.
• Convey clear, concise information to others, using verbal or other appropriate communication techniques.
• Complete formal training plan and assignments as required.

• We are proud to offer a robust benefits suite that includes:
• Competitive base salary plus incentive plans for eligible team members
• 401(K) retirement plan that includes a company match of up to 6% of your eligible salary
• Free basic life and AD&D, long-term disability and short-term disability insurance
• Medical, dental and vision plans to meet your unique healthcare needs
• Wellness incentives
• Generous time off program that includes personal, holiday and volunteer paid time off
• Flexible work schedules and hybrid/remote options for eligible positions
• Educational assistance