Senior Claims Representative (Multi-Line)

Mutual Benefit Group; Huntingdon, Northern (Huntingdon County, KY); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Full benefits package

401(k) and Roth 401(k)

Job summary

Mutual Benefit Group seeks a Senior Claims Representative (Multi-Line) to investigate, evaluate, and settle multi-line claims within established authority, including complex and high exposure cases. You will determine coverage, liability, and loss amounts, review policies, and contact stakeholders as needed.

Responsibilities include negotiating settlements, reviewing reserves, and ensuring regulatory compliance with Unfair Claims Practices Act and Good Faith handling.

Qualifications

• Applicants must possess a Bachelor's degree or equivalent education and experience combination.
• Proficient interpersonal relations and communications skills (both written and verbal).
• Thorough knowledge of claims law.
• Proficient analytical and problem-solving skills.
• Capacity to work independently.
• Moderate computer knowledge.
• Demonstrated organizational and time management abilities.
• Demonstrated abilities to deal with a variety of personalities.
• Minimum of five years' experience with investigation, management, and negotiations of liability and property claims in MBG states of operation.

Responsibilities

• Determines coverage and investigates claims.
• Determines liability.
• Determines amount of loss/damage.
• Reviews and interprets policies to determine coverage.
• Makes personal, written, or telephone contact with general public, reporting agencies, and suppliers of goods/services.
• Determines settlement values.
• Reviews reserves and modifies as necessary within established authority or seeks appropriate approvals.
• Develops and documents claims files.
• Negotiates with insureds, claimants, or legal representatives.
• Issues claim and expense payments securing appropriate approvals for check requisition on claims exceeding authority.
• Ensures compliance with the Unfair Claim Practices Act and Good Faith Claim Handling regulation.
• Performs other miscellaneous duties as assigned or directed.

Skills

Analytical skills

Problem solving

Interpersonal skills

Time management

Communication skills

Independent worker

Computer literacy

Education

Bachelor's degree or equivalent

Job description

JOB SUMMARY

The Senior Claims Representative (Multi-Line) investigates, evaluates, and settles multi-line claims within established authority level, including those of complexity and high exposure.

SPECIFIC Duties include:

• Determines coverage and investigates claims
• Determines liability
• Determines amount of loss/damage
• Reviews and interprets policies to determine coverage
• Makes personal, written, or telephone contact with general public, reporting agencies, and suppliers of goods/services
• Determines settlement values
• Reviews reserves and modifies as necessary within established authority or seeks appropriate approvals
• Develops and documents claims files
• Negotiates with insureds, claimants, or legal representatives
• Issues claim and expense payments securing appropriate approvals for check requisition on claims exceeding authority
• Ensures compliance with the Unfair Claim Practices Act and Good Faith Claim Handling regulation
• Performs other miscellaneous duties as assigned or directed.

CANDIDATES MUST POSSESS:

Education Requirements:

• Applicants must possess a Bachelor\'s degree or equivalent education and experience combination
• Proficient interpersonal relations and communications skills (both written and verbal)
• Thorough knowledge of claims law
• Proficient analytical and problem-solving skills
• Capacity to work independently
• Moderate computer knowledge
• Demonstrated organizational and time management abilities
• Demonstrated abilities to deal with a variety of personalities
• Minimum of five years\' experience with investigation, management, and negotiations of liability and property claims in MBG states of operation

Additional Information

Full benefits package, including health, dental reimbursement, vision, 401(k) and Roth 401(k), and PTO, starts the first of the month following employment. Please visit our Web site to learn more about us and why you might want to work with us.

Equal Opportunity Employer

Best Places to Work in PA Employer 2009, 2010, 2011, 2012, 2013, 2014, 2017, 2018, 2022, 2024 and 2025.

EDUCATION INFORMATION

Give record of High Schools, Colleges, Universities, and Vocational/Technical Schools you have attended.

School Name & Address *

Diploma or Degree Received *

Subjects Studied/Major: *

Did You Graduate? *

• Yes
• No

School Name and Address

Diploma or Degree

Subjects Studied/Major

Did You Graduate?

• Yes
• No

References

Three professional references are required.

First Reference

Name *

Relationship *

Phone *

Secondary Phone

Second Reference

Name: *

Organization and position *

Relationship: *

Phone *

Secondary phone number

Third Reference

Name *

Relationships *

Phone #

Secondary Phone Number

Military

Are you a veteran of the US military service? *

• Yes
• No

Employment Experience

Please provide an accurate and complete full-time and part-time employment record versus indicating “see resume” or a similar remark. Start with your current or most recent employer.

Employment Experience #1

Company/Firm Name *

Phone *

Address *

Address Line 2

City

State

Employed From *

Employed to *

Job title *

Reason for interest in new position *

Duties *

Employment Experience #2

Company/Firm Name

Phone #:

Address

Address Line 2

City

State

Employed From:

Employed To

Job Title

Reason for interest in new position:

Duties:

Employment Experience #3

Company/Firm Name

Phone

Address

Address Line 2

City

State

Employed from

Employed to

Job Title

Reason for interest in new position

Duties

Resume Upload

Resume (Supported formats .doc, .pdf, .rtf, .txt, .html | File Size Limit 2mb)

Additional Skills

Please describe additional skills, training, certifications, or ability you would like us to consider in evaluating your qualifications.

Equal Opportunity Employer

Mutual Benefit Group and its member companies are an equal opportunity employer. It is our policy to provide equal opportunities in employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment to qualified persons without regard to race, religion, color, creed, ancestry, national origin, sex, age, veteran’s status, or disability which does not interfere with the ability to perform the essential functions of an employee’s job with or without reasonable accommodation. All Mutual Benefit Group employment and employee benefit programs are administered through MBIC, a member of Mutual Benefit Group.

Applicant's Statement

I hereby give Mutual Benefit Group and/or its member companies the right to make a thorough investigation into my previous employment, education, and references; and I release from all liability all persons, companies, and corporations supplying such information. I release, indemnify, and hold harmless Mutual Benefit Group and/or its member companies from and against any and all liability which might result from making such an investigation.

I understand that if hired any false answer, statement, or representation made by me in this application shall result in immediate discharge. I also understand that nothing contained in this employment application or via the granting of an interview is intended to create an employment contract between Mutual Benefit Group and/or its member companies and me for either employment or for the granting of benefits. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Mutual Benefit Group and/or its member companies unless made in writing. If an employment relationship is established, I understand and agree that it is “at-will,” meaning that either party can end the employment relationship at any time and for any or no reason with or without notice.

I understand that if accepted for employment, I must abide by the rules and policies of Mutual Benefit Group and/or its member companies.

• I hereby agree to conduct transactions with Mutual Benefit Group by electronic means, and understand that any electronic signature I submit to Mutual Benefit Group is no different than my original written signature, and it will have the same effect as though I provided my original written signature.

I understand that by entering my name below and clicking "Submit," I am electronically signing this application, and that my electronic signature is no different than my original written signature, and it will have the same effect as though I provided my original written signature.

Signature - Type full name *

• I understand that, by submitting this application, I am opting in to receive career-related communications from Mutual Benefit Group during the hiring process. *