Claims Specialist (Client Services)

Hummel Group Inc; United States; On-site; USD 48,000 - 72,000; Full time

Job summary

Hummel Group Inc. is seeking a Claims Specialist to provide prompt, effective assistance to clients and third parties reporting and settling claims.

You will act as a liaison between the agency and carriers and assist colleagues with claims activity. Key duties include taking first reports, organizing claim information, setting expectations for timelines and deductibles, following up on settlements, and updating management on severe losses.

Qualifications

• Extensive knowledge of claims procedures and insurance coverage.
• Excellent customer service and teamwork skills.
• Strong negotiating, decision-making, and relationship-building abilities.
• Ability to learn and perform new duties and responsibilities.

Responsibilities

• Reports loss/claim information to the appropriate carrier the same day it is received.
• Gives prompt and courteous service on a same-day basis to all clients.
• Takes first reports of claims.
• Organizes claim information on forms and submits claim to appropriate carrier.
• Sets expectations of the claim process including time frames, deductibles, restoration companies and adjustors.
• Follows up with insurance companies for the timely and accurate settlement of losses.
• Responds to customers’ inquiries and questions regarding the status of loss within 24 hours of inquiry.
• Follows all systems, procedures, and insurance company regulations.
• Authorizes claim payments within agency authority.
• Coordinates, as necessary, any activities between clients and claim adjusters.
• Complete weekly and monthly reports of claims notifications and updates.
• Notifies risk advisor and/or management of severe losses over $100,000.
• Provides updates to management and or appropriate risk advisor/customer service for clients with severe or frequent losses.
• Deals promptly and with full integrity with all carrier claims personnel, responding within 24 hours to any request for action or information

Skills

Claims procedures

Customer service

Negotiation

Relationship building

Microsoft Word/Excel/Outlook

Education

High school diploma

Bachelor’s degree preferred

Tools

Microsoft Word

Excel

Outlook

Job description

The Claims Specialist is responsible for providing prompt, effective assistance to clients and third parties reporting and settling claims with our agency. They also act as a liaison between the agency and carriers and assist others in the agency with service regarding claims activity.ESSENTIAL JOB RESPONSIBILITIES:To perform this job successfully, an individual must be able to perform each essential duty adequately. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Reports loss/claim information to the appropriate carrier the same day it is received.Gives prompt and courteous service on a same-day basis to all clients.Takes first reports of claims. Organizes claim information on forms and submits claim to appropriate carrier. Sets expectations of the claim process including time frames, deductibles, restoration companies and adjustors.Follows up with insurance companies for the timely and accurate settlement of losses.Responds to customers’ inquiries and questions regarding the status of loss within 24 hours of inquiry.Follows all systems, procedures, and insurance company regulations.Authorizes claim payments within agency authority.Coordinates, as necessary, any activities between clients and claim adjusters.Complete weekly and monthly reports of claims notifications and updates.Notifies risk advisor and/or management of severe losses over $100,000. Provides updates to management and or appropriate risk advisor/customer service for clients with severe or frequent losses.Deals promptly and with full integrity with all carrier claims personnel, responding within 24 hours to any request for action or informationREQUIREMENTS:Knowledge, Skills, and AbilityExtensive knowledge of claims procedures and insurance coverageAbility to satisfy the needs of the customer, both internal and external, needs little assistance from others in this endeavorStrong negotiating, decision-making, and relationship building skillsExcellent customer service and teamwork skillsAbility to interact with employees, customers and vendor companiesWorking knowledge of computer software packages including Microsoft Word, Excel and Outlook programsAbility to use general office equipment, including a computer, calculator, typewriter, fax machine, copier and telephoneAbility to learn and perform new duties and responsibilitiesEducation or ExperienceHigh school diploma.Bachelor’s degree preferred.Must be willing to work toward industry designationsRequires current driver’s licenseWorking Environment/ Physical ActivitiesGeneral office work environment.Requires regular use of arms, hands, and fingers.Frequently required to sit for extended periods of time, reach with arm and hands, stand, walk, stoop, talk and hear.Required to lift and/or move up to 10 pounds.Ability to work during regular business hours (8:00am-5:00pm), if required.Travel as needed.HIPAA ComplianceThis position may have access to Protected Health Information (PHI) and Electronic Protected Health Information (ePHI). An employee will be responsible for following the guidelines of the HIPAA Confidentiality Agreement.Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with this job. The employee is expected to perform those duties listed as well as other related duties directed by management.