Insurance Claims Representative

OneGroup; City of Olean (NY); On-site; USD 25,141 - 34,040; Full time

Benefits offered by this job

11 paid holidays

Paid vacation

Medical, Vision & Dental insurance

401K with generous match

Pension

Tuition Reimbursement

Job summary

OneGroup is seeking an Insurance Claims Representative to support credit insurance programs. This role involves processing various insurance claims, verifying payments, and managing customer accounts efficiently.

The ideal candidate should possess a High School Diploma, with an Associate's Degree or years of experience preferred. This position offers competitive hourly compensation and comprehensive benefits including medical, dental, and vacation days.

Qualifications

• Must be 18 years of age or older.
• Valid driver’s license required.
• Minimum of two years of experience is strongly preferred.

Responsibilities

• Assist with claims regarding the company’s credit insurance programs.
• Process Life and Disability Insurance claims.
• Verify payments and ensure accuracy on customer accounts.
• Handle account research and customer complaints.

Skills

Keen attention to detail

Proficient reading, writing, grammar and mathematics skills

Professional interpersonal relations and communication skills

Adaptable

Positive attitude

Collaborative team player

Dedicated work ethic

Education

High School Diploma or GED

Associates Degree or two years’ experience

Job description

Overview

At Community Financial System, Inc. (CFSI), we are dedicated to providing our customers with friendly, personalized, high-quality financial services and products. Our retail division, Community Bank, N.A., operates more than 200 customer facilities across Upstate New York, Northeastern Pennsylvania, Vermont, and Western Massachusetts. Beyond retail banking, we also offer commercial banking, wealth management, investment management, insurance and risk management, and benefit plan administration.

Just as our employees are committed to helping our customers manage their finances, we’re committed to our employees. After all, they make it happen for our customers every day.

To ensure our people can enjoy long and successful careers here at CFSI, we offer competitive compensation, great benefits, and professional development and advancement opportunities. As an equal‑opportunity workplace and affirmative‑action employer, we celebrate and support a diverse workplace for the benefit of all: our employees, customers and communities.

Responsibilities

The major responsibility for an Insurance Claims Representative is assisting the department with manners regarding the company’s credit insurance programs and claims.

Essential Responsibilities

• Process Life and Disability Insurance claims
• Process Life and Disability Insurance proceeds received from an internal or external insurance carrier
• Perform next day verification of Life and Disability payments to ensure they were keyed to the customer’s account correctly
• Process Total Loss claims
• Verify GAP coverage after a Total Loss and file the GAP claim. Process GAP refunds/issue checks
• Process Total Loss proceeds issued by auto insurance companies Process collision/repair checks issued by auto insurance companies
• Perform next day verification of Total Loss and/or collision repair payments to ensure they were keyed to the customer’s account correctly
• Process cancellations on Total Losses for back-end products (i.e. Dealer Warranties)
• Prepare and send Customer Balance Letters
• Coordinate and process loan payoff requests
• Process the necessary lien and/or title releases
• Handle account researches, credit disputes, and/or assist with customer complaints. Cut and issue checks to applicable parties
• Correspond to and provide necessary documentation to third party companies including customers, physician offices, auto insurance companies, GAP insurance carriers, and dealership representatives to ensure all available monies or refunds are requested and paid in a timely manner
• Add and remove insurance codes on accounts accordingly to reflect the current account/claim status
• Perform next day verification of the addition or removal of insurance codes
• Assist with collection efforts on delinquent accounts with pending/active insurance claims Effectively communicate and cooperate with other Bank departments and personnel regarding accounts with insurance claims
• Thoroughly document accounts detailing the action taken, information needed, and/or next steps Perform daily and monthly balancing and reconciliation of general ledger accounts
• Continuously cross train on other functions as needed or requested Assist the Direct Lending Manager with tasks, reports, or projects Assist the Direct Operations Supervisor with tasks, reports, or project.
• Perform multiple queue verifications within the Consumer Loan platform to ensure all loans with open/active insurance claims are worked in a timely and regulatory manner
• Assist with updating procedures as needed
• Assist with and absorb additional insurance claim related functions resulting from a merger/acquisition
• Provide quality service to coworkers, customers, third party vendors, insurance companies, etc.
• Other duties as assigned or directed
• Maintain proficient knowledge of, and demonstrate ongoing compliance with all laws and regulations applicable to this position, ensure ongoing adherence to pertinent policies, procedures and internal controls, and meet all training requirements in a timely manner

Ancillary Duties

• As an integral member of the Indirect/Direct Consumer Loan Departments, this position is also responsible to provide assistance wherever necessary to help the Department and the Bank in achieving their annual goals.

Qualifications

Education, Training and Requirements

• High School Diploma or GED required
• Associates Degree in related field of study or two (2) years’ experience in a related field preferred
• Valid driver’s license
• All applicants must be 18 years of age or older

Skills

• Keen attention to detail
• Proficient reading, writing, grammar and mathematics skills
• Proficient and professional interpersonal relations and communicative skills
• Adaptable
• Flexible and understanding of change
• Positive attitude with a level-headed approach
• Creative thinker
• Collaborative team player
• Dedicated work ethic and ability to manage responsibilities well
• Ability to work with high volumes at a fast pace while maintaining quality
• Able to maintain focus within an open floor plan office setting consisting of simultaneous professional conversations

Experience

• Minimum of two (2) years of experience in related field strongly preferred

Other Job Information

Hours: 40 hours/week

Compensation: Commensurate with experience plus potential for annual merit increase. In addition to your competitive salary, you will be rewarded benefits including: 11 paid holidays, paid vacation, Medical, Vision & Dental insurance, 401K with generous match, Pension, Tuition Reimbursement, Banking discounts and the list goes on!

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to stand, walk or sit. Use hands and fingers, handle or feel, reach with hands or arms, and speak and hear. The employee may occasionally be required to lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, and the ability to focus.

The Company is an Affluent Action, Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, citizenship status, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state or local law.

The Company will make reasonable accommodations for qualified individuals with a disability. If you have a physical or mental impairment and would like to request an accommodation with respect to the application process, please contact the Human Resources Department.

Minimum

USD $18.25/Hr.

Maximum

USD $24.71/Hr.