Claims Representative II (Liability and Casualty)

Goodville Mutual Casualty Company; Napoleon (OH); On-site; USD 42,000 - 62,000; Full time

Job summary

Paylocity is seeking a Claims Adjuster to handle liability casualty claims with settlement authority up to $20,000. The role requires 1–2 years of P&C claims experience, strong communication and negotiation skills, and willingness to travel to multiple offices.

You will verify coverages, evaluate claims, and pursue subrogation where appropriate. Responsibilities include coordinating with independent adjusters and staff, establishing reserves, and reporting potential fraud.

Qualifications

• High school education required.
• 1–2 years Property & Casualty claims experience preferred.
• Knowledge of Property & Casualty coverages and terms is preferred.
• Ability to learn coverages for all policies written by the company.

Responsibilities

• Adjust and settle claims with authority up to $20,000.
• Verify policy coverage on assigned claims.
• Investigate and evaluate claims; negotiate settlements.
• Assign independent adjusters, appraisers, and Field Claims Representatives when needed.
• Pursue subrogation, salvage, and third-party liability contributions.
• Notify supervisor/manager of claims exceeding authority.
• Establish reserves on assigned claims.
• Report complaints, questionable submissions and possible fraud to supervisor/SIU.

Skills

Communication skills

Negotiation skills

Learning coverages

Travel willingness

Office/in-office readiness

Education

High School diploma

Job description

Description

Summary

This position is responsible for adjusting and settling claims for all liability casualty lines of 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.

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.