Claims Representative II (General Liability Focus)

Society Insurance; Fond du Lac (WI); Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player is seeking a Claims Representative II to join their dynamic team. This role involves investigating and resolving general liability claims, ensuring compliance with insurance policies, and building strong relationships with clients. The ideal candidate will demonstrate excellent negotiation skills and a keen analytical mindset. With a focus on mentorship and collaboration, this position offers a unique opportunity to contribute to a culture of integrity and excellence while enjoying a comprehensive benefits package and work-life balance. If you are ready to make a meaningful impact, this is the role for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Flexible Scheduling

PTO

Career Coaching

Tuition Reimbursement

Employee Assistance Program

Wellness Initiatives

Qualifications

• 3+ years of claims handling experience or 5+ years without a degree.
• Proficiency in general liability claims and insurance regulations.

Responsibilities

• Resolve mildly complex claims by investigating and negotiating settlements.
• Mentor and train claims representatives in claims expertise.

Skills

Claims Handling

Negotiation Skills

Analytical Skills

Communication Skills

Customer Relationship Management

Education

Bachelor’s Degree

Tools

Guidewire Claims System

Job description

Job Information

Job Title

Claims Representative II

Home Department:

Claims

Employment Status:

Exempt; Full-time

Schedule:

40 hours/week with Flexible Scheduling Opportunities

Position Location:

Home Office, Telecommuting, 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 II to join our Claims team. This position has a general liability focus. This position will resolve mildly complex general liability claims by investigating losses and negotiating out-of-court settlements.

About the Role

• Settles mildly complex claims by determining insurance carrier’s liability and reaches agreement with claimant according to policy provisions and authority level.
• Handles mediations, arbitrations, and subrogation within authority level and accepts verbal recorded settlement agreements on losses less than $5,000.
• Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.
• Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.
• May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.
• Resolves questionable claims by investigating the claim and comparing claims information with evidence.
• Ensures proper file documentation of assigned files by complying with company and state requirements.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Contributes to team effort by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed.

About Yo u

• 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.

What it Will Take

• Bachelor’s Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.
• Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
• Ability to obtain and maintain proper licensing prior to handling a state that requires it.
• Professional insurance designations highly desirable.
• Experience using Guidewire Claims System preferrable.

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.