Claims Representative I - Auto

Goodville Mutual Casualty Company; Ohio; On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Claims Adjuster to manage and settle claims across various business lines. This role involves investigating claims, verifying policy coverage, and ensuring compliance with regulations. The ideal candidate will possess strong communication skills and a willingness to learn about insurance policies. Join a supportive team where your contributions will directly impact customer satisfaction and operational efficiency. If you are ready to take on a rewarding challenge in the insurance sector, this opportunity is perfect for you.

Qualifications

• High school education required with effective communication skills.
• Minimum one year in customer service preferred.

Responsibilities

• Adjust and settle claims up to $7,500 according to guidelines.
• Investigate claims and establish proper reserves.

Skills

Effective communication skills

Customer service experience

Ability to learn insurance coverages

Flexibility in working hours

Ability to work with computer systems

Education

High school education

Job description

Description

Summary:

This position is responsible for adjusting and settling claims for all lines of business written by the company with settlement authority up to $7,500.

Functions:

1. Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
2. Verify policy coverage on assigned claims.
3. Investigate and evaluate assigned claims for proper settlement.
4. Assign independent adjusters and appraisers when necessary.
5. Pursue subrogation, salvage, and third-party liability contribution.
6. Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $7,500.
7. Establish proper reserves on assigned claims.
8. Report claim complaints, questionable claim submissions, and possible fraud to Claims Supervisor or Manager.
9. Attend claim seminars and participate in claim associations.
10. Perform other duties as assigned by Claims Manager and Supervisor.

Requirements:

1. High school education required.
2. Minimum of one year of work experience in a customer service role preferred.
3. Ability to learn the coverages of all insurance policies written by the company required.
4. Effective communication skills required.
5. Ability to work effectively with company computer systems required.
6. Willingness to participate in insurance related study courses preferred.
7. Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota), and travel to vendor work sites required.
8. Ability to work in an office environment with moderate noise level, remain in a stationary position and operate a computer a majority of the time required.
9. Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required.
10. Ability to perform the essential functions of the job with or without reasonable accommodation required.