Claims Representative I - Auto Claims

Goodville Mutual Casualty Company; Ohio; On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player in the insurance sector is seeking a dedicated Claims Adjuster to manage and settle claims across various lines of business. This role involves investigating claims, ensuring compliance with regulations, and maintaining effective communication with clients and teams. Ideal candidates will possess strong customer service skills, a willingness to learn about insurance policies, and the ability to work flexibly across different locations. Join a dynamic team where your contributions will directly impact the claims process and customer satisfaction, all while working in a supportive office environment.

Qualifications

• High school diploma required with customer service experience preferred.
• Effective communication and computer skills are essential.

Responsibilities

• Adjust and settle claims up to $7,500 in accordance with company guidelines.
• Investigate claims, verify coverage, and establish 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

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.