Claims Associate

Jobtailor; Cockeysville (MD); On-site; USD 55,000 - 75,000; Full time

Job summary

Jobtailor is seeking a dedicated claims professional in Maryland to manage personal lines claims from intake to resolution. You will review policies, verify coverage, and coordinate with carriers and third parties to ensure fair, timely settlements.

The role requires strong communication, documented claim handling, and the ability to prioritize a demanding workload while maintaining client advocacy and service standards.

Qualifications

• Experience in personal lines claims handling and coverage concepts.
• Familiarity with carriers, brokers, and claims intermediaries.
• Proficient in documenting claims and using agency systems.

Responsibilities

• Ensure timely and equitable claims service for agency clients.
• Investigate, negotiate, and settle personal lines claims.
• Review policies and process claims to conclusion per policies.
• Complete First Reports with policy verification and coverage determinations.
• Input acknowledgments, reports, and payments into the system.
• Monitor and follow up on open or unsettled claims every 30 days.
• Advocate for clients and explain coverage clearly.
• Follow company workflows and maintain discretion in workload prioritization.

Skills

Claims Investigation

Claims Negotiation

Policy Verification

Client Management

Relationship Management

Time Management

Written and Verbal Communication

MS Office Proficiency

Internet Navigation

Agency Management Systems

Tools

MS Office Suite

Job description

Responsibilities

• To ensure agency clients receive timely and equitable claims service.
• Investigates, negotiates, and aids in settling personal lines claims.
• Receives notification of claims, reviews policy, account instructions and processes claim to conclusion in accordance with agency and insurance carrier policies.
• First Reports – upon receipt of claim, responsible for completing claim file, which includes policy verification and making preliminary or tentative determinations of coverage.
• Input claims acknowledgments, direct reports, and claim payments into the computer system.
• Process claims mail.
• Act as a liaison between clients and third‑party companies to resolve claim issues – process claims that are designated for internal claim handling, assigning the others to an outside claims adjuster.
• Check status of claims – every 30 days, initiate a follow‑up on all open or unsettled claims.
• Service and assist clients as necessary – process, record, monitor, and analyze all claims for personal lines clients as assigned, keep Producer and Personal Lines Account Manager apprised of claims status.
• Follow DII procedures and workflows within Applied Epic.
• Exercise discretion and judgment in prioritizing workload.
• This role exists to serve as an advocate for our clients, explaining policy coverage to clients and third parties and ensuring claims are resolved in a prompt, fair and courteous manner.

Requirements

• Strong personal lines knowledge with complete understanding of a broad range of coverage.
• Understanding of insurance industry and its various components including claims, carriers, intermediaries, brokers, and agents.
• Ethical and effective business practices.
• MS Office proficiency
• Internet navigation and use of websites
• Navigation of agency management systems
• Client Management
• Relationship Management
• Time Management
• Written and Verbal Communication

Hard Skills

• Claims Investigation
• Claims Negotiation
• Policy Verification
• Claims Acknowledgment Input
• Claims Status Monitoring

Soft Skills

• Relationship Management
• Time Management
• Verbal Communication
• Discretion and Judgment
• Client Advocacy