Senior Auto PD Claims Representative - Remote

Preferred Mutual Insurance Company; Town of Maine (NY); Remote; USD 70,000 - 90,000; Full time

Job summary

An established industry player is seeking a Senior Auto PD Claims Representative to join their remote team. In this dynamic role, you will alleviate the impact of adversity during challenging life events by promptly investigating and resolving auto PD claims. You will work closely with clients, ensuring that their needs are met with integrity and professionalism. This company offers a comprehensive benefits package, including generous paid time off, medical coverage, and a pension plan. If you are passionate about making a difference and thrive in a collaborative environment, this is the perfect opportunity for you.

Benefits

Short-term disability insurance

Long-term disability insurance

Life insurance coverage

401k plan with employer contribution

Pension Plan

Generous paid time off

Paid sick leave

Paid company holidays

Access to mental health care

Health Savings Accounts

Qualifications

• 4+ years of experience in Auto PD claim processing.
• Exceptional communication and decision-making skills.
• Proficient in technology platforms utilized by Preferred Mutual.

Responsibilities

• Investigate and resolve auto PD claims promptly.
• Manage indemnity and loss expenses effectively.
• Evaluate claims for accurate reserving and liability determination.

Skills

Auto PD claim processing

Active listening

Oral communication

Written communication

Time management

Problem solving

Negotiation

Collaboration

Education

High School Diploma or Equivalent

Bachelor's degree

Professional designation (AIC, CPCU, SCLA)

Tools

Microsoft Office Suite

Windows

Internet-based applications

Job description

Current job opportunities are posted here as they become available.

Senior Auto PD Claims Representative - Remote

Please note, employment offered to residents in the following states only: Connecticut, Delaware, Massachusetts, Maryland, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont.

At Preferred, we understand the importance of holistic health. To meet the diverse needs of our employees, we offer a comprehensive set of benefits:

• Short-term disability, long-term disability, and life insurance coverage are provided at no cost
• Optional benefits include enhanced life insurance and critical illness plans
• 401k plan with an employer contribution that you will receive regardless of your own contribution to the plan
• Pension Plan
• Certain positions may also be eligible for short-term incentive plans.

Social

• Generous paid time off, offering of 25 days at hire (prorated based on start date for the first year)
• 7 days of paid sick leave
• 10 paid company holidays
• Personalized paid time off after 3 years!

Emotional

• Access to Modern Health, a provider of accessible, personalized mental health care

Physical

• Medical, dental, and vision coverage options begin on the first day of employment
• Health Savings Accounts (with employer contribution) are available based on the medical plan you choose

YOUR PURPOSE AND FUNCTION IN OUR COMPANY:

Alleviate the impact of adversity during challenging life events by the prompt investigation and resolution of auto PD claims. Supports and contributes to the Auto PD Claims Department and Company’s missions, visions, values, and goals.

QUALIFICATIONS:

• High School Diploma or Equivalent
• Bachelor's degree preferred
• 4 or more years of experience in Auto PD claim processing. Ideally on the carrier, P&C insurance side
• One professional designation or equivalent coursework preferred (i.e., AIC, CPCU, SCLA).
• Exceptional active listening skills paired with effective oral and written communication skills.
• Make timely, definitive, and fact driven decisions.
• Strong time and project management skills that support continued process improvement.
• Skilled at collaboration, group decision making, problem solving and negotiation. Pursues duties and interactions with integrity.
• Proficient in technology platforms utilized by Preferred Mutual (including but not limited to Windows, Microsoft Office Suite, Outlook, and Internet-based applications).

KEY CAPABILITIES FOR SUCCESS:

• Evaluate files for the accurate and timely reserving of claims in accordance with the Preferred Mutual reserving philosophy.
• Appropriately manage indemnity and loss expenses.
• Conduct thorough and timely investigation to determine liability and claim valuation.
• Treat customers in a proactive and responsible manner
• Adjust schedule as needed to accommodate customer needs and/or fluctuations in work volume.
• Leverage technology as a critical component in achieving efficiencies and delivering superior customer service.
• Handle moderately complex or complex claims, with authority up to $75,000
• Display an understanding of avenues of contribution and recovery by third parties and takes appropriate action when necessary.
• Resolve claims promptly and fairly in a manner that is reflective of coverage, liability, and damages.
• Demonstrate an understanding of claim procedures and file administration for proper file documentation and claim reporting.
• Demonstrate an understanding of products and coverages offered by Preferred Mutual;
• Meet file quality standards as determined by internal and external audits.
• Maintain work load in accordance with Key Performance Driver standards.
• Develop an understanding of fraud indicators.
• Recognize Key data points within the claim management and other systems and utilizes the data to make informed decisions and reach better claim resolutions.

FUNCTIONAL AREA RESPONSIBILITIES:

• Demonstrate ability to effectively handle multi-exposure auto accidents that may include real property damage, small claims litigation, payments under duress, damage scope disputes that are less than 50k in total exposures
• Demonstrates skill and confidence in applying the policies, endorsements, state regulations and V&T laws to support timely decisions and appropriate actions
• Demonstrates professional accountability and urgency in directing their files.
• Demonstrates fairness and decisiveness in file handling and customer communications
• able to draft appropriate coverage letters/communications to customers with minimal to no intervention
• Proactively collaborates with other units/departments on files
• Ability to mentor/lead training/provide insight to peers

ABOUT US: As a mutual company, we are independent by nature, so we think about insurance solutions a little differently. Through listening, problem solving, examining your challenges and collaborating on the right solutions for you, Preferred Mutual independent agents provide flexible solutions and adapt to your evolving needs. We do the same for our employees. We are process and domain experts, focused on the solutions that deliver results for our clients and our company. We offer a great work environment, professional development, challenging careers, and competitive compensation. With Preferred, there are no surprises. You can count on us to deliver on our promises and be there when you need us, as your insurance provider and your employer. Preferred Mutual is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

DISCLAIMER: This role (job) description indicates in general terms, the type and level of work performed as well as the typical responsibilities of employees in this classification. The duties described are not to be interpreted as being all-inclusive to any specific employee. Management reserves the rights to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. Nothing in this position description changes the at-will employment relationship existing between Preferred Mutual Insurance Company and its employees.

The base pay range for this position is $70,000 - $90,000 paid on a salaried basis. The rate offered to any candidate will be reflective of the candidate’s experience and any relevant education, certification, or qualifications related to their ability to perform the responsibilities of this position as permitted by law.