Claims Representative I (General Liability)

Society Insurance; Fond du Lac (WI); Hybrid; USD 52,000 - 75,000; Full time

Benefits offered by this job

Comprehensive Benefits Package

Traditional or Roth 401(k) Plan with 3

Flexible scheduling

Telecommuting options

Career coaching

Student loan and tuition reimbursement

Charitable match

Wellness programs

Job summary

Society Insurance is recruiting for a Claims Representative I (General Liability) to investigate, evaluate, and resolve mildly complex GI claims. You will determine coverage, gather evidence, interview claimants and witnesses, and negotiate resolutions within policy provisions and state regulations.

Join a team focused on accuracy, integrity, and timely outcomes with opportunities for hybrid or remote work and ongoing professional development.

Qualifications

• Bachelor’s Degree in business or related field.
• 3+ years of claims handling experience involving discretionary decision-making.
• 5+ years of knowledge in the property & casualty insurance industry.
• Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail software.

Responsibilities

• Handles and settles mildly complex claims by determining liability and reaching agreement with claimants/injured workers.
• Determines insurance coverage by examining claim forms, policies, and records; interviewing relevant parties.
• Resolves questionable claims by investigating and comparing information with evidence.
• Ensures guidelines are followed during investigations, discovery, and settlement.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Maintains professional knowledge through training and continuing education.

Skills

Communication

Negotiation

Investigative analysis

Education

Bachelor's Degree in business or related field

Tools

PC applications (word processing, Internet, spreadsheets, e-mail)

Job description

Job Title Claims Representative I (General Liability)

Job Information
Job Title Claims Representative I (General Liability)
Home Department Claims
Employment Status Exempt; Full-time
Schedule 40 hours/week with Flexible Scheduling Opportunities
Position Location: Home Office, Hybrid, And Remote Opportunities In
CO, GA, IL, IN, IA, MN, TN, TX, & WI

Overview Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society. Society Insurance is seeking a Claims Representative I (General Liability) to join our team. This role will investigate, evaluate, and resolve mildly complex General Liability claims by determining coverage and liability, investigating losses, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations.

About The Role

• Handles and settles mildly complex claims by determining insurance carrier’s liability; reaching agreement with claimants/injured workers according to policy provisions and authority level; and handling subrogation.
• Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
• Resolves questionable claims by investigating and comparing claims information with evidence.
• Ensures company guidelines and procedures are followed during investigations and in the handling of discovery and settlement.
• Ensures proper file documentation by complying with claims handling guidelines and state requirements.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Develops and maintains professional, technical knowledge and expertise in a specified line(s) of business through training courses and participating in continuing education coursework/classes.
• Contributes to team effort by participating in determining department investigation guidelines; and providing feedback to underwriting as needed.

About You

• You enjoy communicating and building relationships with others.
• You are composed, cool under pressure, and can negotiate without damaging relationships.
• You hold yourself accountable and act in accordance with rules and regulations.
• You enjoy analyzing, investigating, and using the facts to make decisions.
• You are naturally curious and have a desire to know more.
• You apply an investigative approach to identifying facts and evaluating evidence.

What It Will Take

• Bachelor’s Degree in business or related field.
• OR
• 3+ years of claims handling experience involving the exercise of discretionary decision-making as determined by Society Insurance.
• OR
• 5+ years of knowledge in the property & casualty insurance industry.
• Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail software.
• Ability to obtain and maintain proper licensing prior to handling a state that requires it.
• Valid driver’s license and a satisfactory driving record as determined by Society Insurance.
• Professional insurance designations highly desirable.

What Society Can Offer

• Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance.
• Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan.
• Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options.
• Education: Career Coaching; company-paid courses; student loan and tuition reimbursement.
• Community: Charitable Match; paid volunteer time; team sponsorships.
• Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more.

Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Society Insurance is a drug-free workplace.