Bodily Injury Claims Specialist II — Remote & Flexible

Society Insurance; Fond du Lac (WI); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) plan

Paid holidays

Telecommuting options

Career coaching

Job summary

Society Insurance is seeking a Claims Representative II focused on Bodily Injury to manage moderately complex bodily injury and general liability claims. You will investigate, determine liability, and negotiate settlements with claimants under policy provisions, while maintaining file documentation and adherence to regulatory guidelines.

This exempt full-time role offers flexible scheduling and remote/hybrid arrangements within the nine states Society serves.

Qualifications

• Bachelor's Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.
• Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
• Ability to obtain and maintain proper licensing prior to handling a state that requires it.
• Litigation experience highly desirable.
• Experience using Guidewire Claims System highly desirable.

Responsibilities

• Settles mildly complex claims by determining insurance carriers' liability and reaches agreement with claimant according to policy provisions and authority level.
• May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.
• Handles mediations, arbitrations, subrogation, and recorded settlement agreements.
• Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.
• Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.
• Resolves questionable claims by investigating the claim and comparing claims information with evidence.
• Ensures proper file documentation of assigned files by complying with company and state requirements.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Contributes to team effort (as needed) by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed.

Skills

Communication

Negotiation

Investigation

Claims handling

Relationship building

Education

Bachelor's degree

Tools

Guidewire Claims System

Job description

Society Insurance is seeking a Claims Representative II focused on Bodily Injury to manage moderately complex bodily injury and general liability claims. You will investigate, determine liability, and negotiate settlements with claimants under policy provisions, while maintaining file documentation and adherence to regulatory guidelines.

This exempt full-time role offers flexible scheduling and remote/hybrid arrangements within the nine states Society serves.