Remote Casualty Claims Specialist

Trexis Insurance; Franklin (TN); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Annual performance bonus

Health, dental, vision, cancer, 401(k)

PTO accrual

Disability insurance

Flexible spending accounts

Advancement opportunities

Training and support

Hybrid/remote work options

Job summary

Trexis Insurance in Franklin, TN is seeking a Casualty Representative to proactively investigate coverage, liability and damages, gathering medical documentation to evaluate and settle or deny injury claims.

You will maintain file quality, compare results with prior and peer benchmarks, and present settlements over 10K to the Claim Committee, demonstrating strong negotiating and communication skills.

Flexible work-from-home options are available.

Qualifications

• College degree or commensurate work experience required.
• Minimum of 2 years handling injury claims.
• Must have strong adjusting and negotiation skills.
• Excellent organization and problem-solving skills.
• Excellent oral and written communication skills to quickly build rapport
• Knowledge of Claims Best Practices, tort laws in states we do business in and Department of Insurance regulations.
• General office skills include faxing, copying and filing; typing.

Responsibilities

• The Casualty Representative will proactively investigate coverage, liability and damages. They will seek out all medical documentation to evaluate and settle or deny injury claims where appropriate.
• Adequate reserves will be set and re-evaluated regularly.
• Maintain an acceptable quality of work based on objective measurements and evaluated by the manager and regular audits performed by the Department Audit Team.
• Individual results by venue will be compared against prior results and current peer results in the same venue.
• Representatives will be called upon to help teammates on occasion. They will also be judged on the average BI/UMBI payments for the Casualty and Litigation Units based on metrics.
• Maintain a current, accurate working knowledge of all venues for the states handled.
• This person will be required to bring all requests for BI settlement authority over 10K to Claim Committee.

Skills

Negotiation skills

Organizational skills

Problem-solving

Communication skills

Education

College degree or commensurate work experience

Job description

Trexis Insurance in Franklin, TN is seeking a Casualty Representative to proactively investigate coverage, liability and damages, gathering medical documentation to evaluate and settle or deny injury claims.

You will maintain file quality, compare results with prior and peer benchmarks, and present settlements over 10K to the Claim Committee, demonstrating strong negotiating and communication skills.

Flexible work-from-home options are available.