Claims Representative

Catholic Mutual Group; Omaha (NE); Hybride; USD 55 000 - 75 000; Plein temps

Résumé du poste

Catholic Mutual Group, a leading provider of property, liability, and employee benefit coverage for Catholic entities, seeks a detail-oriented Claims Representative to manage property and casualty claims from notice of loss through final resolution. You will verify coverage, investigate claims, coordinate with independent adjusters, and authorize settlements within established authority levels.

The role emphasizes strong communication, organization, and commitment to exceptional customer

Qualifications

• Bachelor's degree or equivalent and P&C claims experience preferred.
• Strong communication, organization, and documentation skills.
• Ability to analyze information and exercise sound judgment.

Responsabilités

• Manage claims from first report to final resolution.
• Verify coverage and evaluate claims per policy.
• Investigate, adjust, and resolve claims; coordinate with independent adjusters.
• Authorize settlements within authority levels and review reports.

Connaissances

Communication

Organization

Attention to detail

Decision making

Customer service

Microsoft Office

Formation

Bachelor's degree or equivalent in P&C claims

Outils

Microsoft Outlook

Excel

Word

Description du poste

Catholic Mutual Group (CMG) is the leading provider of property, liability, and employee benefit coverage and related services for the Catholic Church throughout the United States and Canada. We are seeking a detail-oriented, customer-focused insurance professional to join our Claims Department as a Claims Representative.

Position Overview

As a Claims Representative, you will manage property and casualty claims from initial report through final resolution. This role is responsible for verifying coverage, investigating and evaluating claims, coordinating with independent adjusters, authorizing payments and settlements, and providing outstanding service to insureds throughout the claims process.

The ideal candidate is organized, collaborative, and able to balance multiple priorities while maintaining a high level of accuracy and professionalism.

Key Responsibilities

• Manage claims from first notice of loss through final resolution, ensuring timely, accurate, and professional handling.
• Verify coverage and evaluate claims in accordance with policy provisions and company guidelines.
• Investigate, adjust, and resolve claims directly or assign claims to independent adjusters when appropriate.
• Provide guidance to independent adjusters, review reports, and authorize settlements within established authority levels.
• Review claim documentation to ensure accurate claim evaluation and payment decisions.
• Process claim payments and maintain complete, well-documented claim files.
• Analyze claim histories and identify potential risk or coverage concerns.
• Communicate effectively with insureds, claimants, attorneys, vendors, and adjusters throughout the claims process.
• Adhere to departmental procedures, company policies, and claims handling guidelines.
• Respond to after-hours emergency claims situations as needed.
• Collaborate with colleagues across departments to support exceptional service and efficient operations.
• Perform other duties and special projects as assigned.

Qualifications

• Bachelor's degree or equivalent combination of education and property and casualty claims experience.
• Property and casualty claims adjusting experience preferred.
• Strong verbal and written communication skills with the ability to build positive relationships with insureds and business partners.
• Excellent organizational, time management, and documentation skills.
• Ability to analyze information, exercise sound judgment, and make informed decisions.
• Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office applications, including Outlook, Word, and Excel.
• Ability to work independently while effectively following established procedures and guidelines.
• Commitment to providing exceptional customer service.

Why Join Catholic Mutual Group?

• Comprehensive medical, dental, and vision insurance
• Company-paid life insurance, AD&D insurance, long-term disability coverage
• 403(b) retirement plan with company match
• Paid holidays, vacation, and sick leave
• Company-paid job-related continuing education and professional development
• 36-hour work week with Friday afternoons off
• Hybrid work opportunities and flexible scheduling available following initial training
• Relaxed business casual work environment
• Mission-driven organization serving Catholic entities across North America

Catholic Mutual Group is an equal opportunity employer.