Claims Representative II - Auto & Casualty Lines

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 insurance claims up to $20,000. In this role, you will handle claims in compliance with regulations, verify policy coverage, and negotiate settlements, ensuring a fair process for all parties involved. This position offers an opportunity to grow your expertise in Property and Casualty insurance while working in a supportive environment. If you possess strong communication and negotiation skills and are eager to learn, this is the perfect opportunity to advance your career in the insurance field.

Qualifications

• 1-2 years of Property and Casualty claims experience required.
• Knowledge of insurance coverages preferred.

Responsibilities

• Adjust and settle claims for all lines of business.
• Investigate claims and negotiate settlements.

Skills

Effective communication skills

Negotiation skills

Ability to learn insurance coverages

Ability to work with computer systems

Education

High School education

Tools

Company computer systems

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 $20,000.

Functions:

• Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
• Verify policy coverage on assigned claims.
• Investigate and evaluate claims; negotiate for proper settlement.
• Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary.
• Pursue subrogation, salvage, and third-party liability contribution.
• Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $20,000.
• Establish proper reserves on assigned claims.
• Report claim complaints, questionable claim submissions and possible fraud to Casualty Claims and SIU Supervisor or Manager.
• Attend claim seminars and participate in claim associations.
• Perform other duties as assigned by Casualty Claims and SIU Supervisor and Supervisor.

Requirements

• High School education required.
• One to two years’ Property and Casualty claims experience required.
• Knowledge of Property and Casualty insurance coverages and terms preferred.
• Ability to learn the coverages of all insurance policies written by the company required.
• Effective communication and negotiation skills required.
• Ability to work effectively with company computer systems required.
• Willingness to participate in insurance related study courses with specific goal of attaining AIC designation preferred.
• Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota) and travel to vendor work sites required.
• 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.
• Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required.
• Ability to perform the essential functions of the job with or without reasonable accommodation required.