Sr. Claim Specialist (Hybrid - Madison, WI)

CMFG Life Insurance Company; Madison (WI); On-site; USD 73,000 - 110,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Retirement plan

Job summary

TruStage is seeking an experienced Claims Specialist to handle advanced bond claims, negotiate settlements, and ensure excellent customer service. The role involves managing investigations, reviewing coverage, and coordinating with external investigators while guiding less experienced staff.

Required qualifications include at least an Associate's degree (Bachelor's preferred), 3+ years of claims experience, and an Adjuster license.

Qualifications

• Excellent verbal and written communications skills.
• Ability to work independently with minimal supervision.
• Strong analytical and problem-solving abilities.
• Detail oriented with a commitment to excellence.

Responsibilities

• Investigate and adjust claims according to applicable laws and policy provisions.
• Conduct claim investigations including recorded statements and document analysis.
• Examine claim forms to confirm coverage for loss or damage.
• Review and settle claims within authority.
• Issue payments or deny claims in a timely manner per policy conditions.
• Negotiate settlements with customers or representatives.
• Identify subrogation opportunities and refer accordingly.
• Collaborate with internal teams and management.

Skills

Communication skills

Independent work

Analytical skills

Attention to detail

Education

Associate's degree

Bachelor's degree

Job description

At TruStage, we're on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what's possible. We need you to help us shape what's next. You'll be encouraged to share your experiences, ideas and skills to help others take control of their financial future.

Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition

Job Purpose:

This position is an advanced Claims role; under moderate guidance and direction, is responsible for the investigation, negotiation and settlement of large/complex Bond claims by use of standard procedures. May consult with clients on CU risks and areas of loss prevention and be accountable for use of external investigators as well as the bondability and subrogation processes related to their claim resolution. You will also be responsible for on-going communications with the insured to ensure excellent customer service is provided. Manages own workload and provides informal guidance to colleagues with less experience.

TheClaimsSpecialist needs to possess detailed knowledge and/or skill on a particular subject or activity. Their talents are devoted to a particular business focus, and they provide guidance, technical leadership, and training to less experienced staff. Develops and implements solutions that align with key business strategies and initiatives.

Job Responsibilities:

• Investigate and adjust claims according to applicable laws and policy provisions.
• Conduct claim investigations including but not limited to recorded statements, securing public records, and analyzing report findings.
• Examine claim forms and other records to confirm coverage for loss or damage.
• Review and settle claims within prescribed limits of authority.
• Issue payments or deny claim in a timely manner in accordance with policy conditions.
• Effectively negotiate settlements with customers or their representatives.
• Recognize and document subrogation opportunities and refer accordingly.
• May be given the more challenging and complex claim activity and or additional products
• Build and maintain effective internal and external working relationships.
• Collaborate with internal support teams and management as appropriate.
• Effectively collaborate with various departments and levels in the organization.
• Maintain industry knowledge and operational skills and attend workshops, seminars, and other training sessions as appropriate.
• Handle other duties and projects as requested based on business needs.
• The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time.

Job Requirements:

• Associate's degree or equivalent industry experience. Bachelor's degree is highly preferred.
• 3+ years of claims experience (fidelity claims experience preferred)
• Adjuster license is required, if you do not currently possess the appropriate license TruStage will assist you in obtaining the licenses within 6 months of your start date.
• Excellent verbal and written communications skills and ability to draft business-level communications when responding to customers.
• Proven ability to work independently with minimal supervision to manage schedules and meet deadlines.
• Demonstrated understanding of the financial services industry and financial transactions.
• Excellent analytical & problem-solving skills / decision making ability.
• Demonstrated mathematical aptitude.
• Demonstrated ability to interpret financial, legal and insurance documentation.
• Intellectual curiosity and the desire to learn.
• Detail oriented with a commitment to excellence.
• May require travel with short notice, which could include weekends.

TruStage may process applicant information using an Artificial Intelligence (AI) tool. This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward. Candidates may choose to opt out of this process.

Base Salary Range: $73,100.00 - $109,700.00

At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan. Additional benefits available to eligible employees include medical, dental, vision, emp