Claims Representative III (Part-Time)

Goodville Mutual Casualty Company; New Holland (Lancaster County); On-site; USD 25,000 - 30,000; Part time

Job summary

Goodville Mutual Casualty Company in the United States is seeking a part-time claims adjuster to handle claims across lines with settlement authority up to $30,000. You will verify coverage, investigate, and negotiate settlements while adhering to company guidelines and applicable laws.

The role requires high school education, 3–5 years of P&C claims experience, and an AIC designation. Occasional travel to other offices may be required and collaboration with supervisors on complex files.

Qualifications

• High school education required.
• 3–5 years Property and Casualty claims experience required.
• AIC designation required.
• Knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved required.

Responsibilities

• 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 for proper settlement.
• Negotiate with claimants, insureds, and attorneys when necessary.
• Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary.
• Pursue subrogation, salvage, and third-party liability contribution.
• Communicate with Claims Supervisor or Manager regarding complex claims when assistance is necessary.
• Manage claims that go to litigation and notify Claims Supervisor or Manager of all claims that exceed settlement authority of $30,000.
• Establish proper reserves on assigned claims.
• Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager.
• Attend claim seminars and participate in claim associations.
• Perform other duties as assigned.

Skills

Communication

Negotiation

Education

High school education

AIC designation

Job description

Description

Summary:

This part-time position is responsible for adjusting and settling claims for all lines of business written by the company with settlement authority up to $30,000.

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 for proper settlement.
• Negotiate with claimants, insureds, and attorneys when necessary.
• Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary.
• Pursue subrogation, salvage, and third-party liability contribution.
• Communicate with Claims Supervisor or Manager regarding complex claims when assistance is necessary.
• Manage claims that go to litigation and notify Claims Supervisor or Manager of all claims that exceed settlement authority of $30,000.
• Establish proper reserves on assigned claims.
• Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager.
• Attend claim seminars and participate in claim associations.
• Perform other duties as assigned.

Requirements

• High school education required.
• Three to five years’ Property and Casualty claims experience required.
• AIC (Associate in Claims) designation required.
• Knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved required.
• 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.
• Involvement in insurance-related seminars and continuing education 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.