Sr Claims Rep Auto

Sr Claims Rep Auto

The Sr. Claim Representative qualifies as a work from home position. All candidates must reside in Ohio or Indiana to be considered for employment. The Sr. Claim Representative is responsible for the investigation, adjustment and resolution of assigned claims and is required to manage a caseload of moderate to complex type losses in accordance with Company standards and IC 27-4-1 / ORC 3901-1-54.

The Sr. claim Representative - Auto Physical Damage investigates moderate to complex coverage and liability claims for personal / commercial auto policies for auto physical damage claims. The position also requires reviewing and verifying auto damages via CCC, negotiating total loss settlements, handling salvage, and managing rental use.

Salary Grade (11) 62,894 - 80,189 - 97,485

ESSENTIAL DUTIES AND RESPONSIBILITIES relevant to all openings include the following.

• Initiate prompt and effective communication with all parties having legal or contractual interest in the claim presented.
• Conduct a prompt and complete investigation of all losses assigned. The scope of investigation should be proportionate to complexity of the claim.
• Provide superior customer service, proactively explain the claim process to the customer and update claim status as necessary.
• Know and understand personal and commercial policies and endorsements related to assigned position.
• Promptly and accurately document all developments in claim file.
• Establish accurate and timely reserves. Reserves should adequately reflect exposure presented.
• Maintain an active diary to achieve timely file development.
• Identify complex issues and seek assistance as needed.
• Effectively negotiate and compromise settlements within authority levels when / where appropriate.
• Reviews facts of loss and vehicle damage to determine if subrogation opportunities exist.
• Effectively manage the assigned workload in a fast-paced environment.
• Utilize available technology to effectively and efficiently process claims.
• Manage moderate to complex claims with accurate claims settlements.
• Handle moderate to complex coverage and liability decisions with minimal oversight by management.
• Effectively control the use of outside vendors.
• Handle claims on a good faith basis.
• Adhere to the "Unfair Claims Practices Act" and other statutory requirements.
• Any other duties deemed necessary by your supervisor or management.
• Must maintain a valid driver license in good standing.

SUPERVISORY RESPONSIBILITIES

None

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and / or EXPERIENCE

College Degree or Equivalent Experience

Minimum of 2 years experience as a Claim Representative

Excellent Written and Verbal Communication Skills

Excellent Interpersonal Skills

Superior Organizational Skills

Efficient Time Management Skills

Demonstrated Negotiation Skills

Demonstrated Experience Providing Customer-driven Solutions, Support or Service.

LANGUAGE SKILLS

Excellent verbal and written communication skills. The individual must be able to effectively and clearly communicate with agents, insureds, departmental and company personnel via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a professional manner.

REASONING ABILITY

The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.

CERTIFICATES, LICENSES, REGISTRATIONS

AIC or CPCU are encouraged.

Obtain state specific property casualty claims staff adjuster licensing as required.

PHYSICAL DEMANDS

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.

Employees are required to sit at a workstation to perform various PC functions. Additionally, the employee is required to devote substantial time to telephone communication.

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. Duties may involve accessing roofs / heights, inspections of compromised scenes, where common sense and caution should prevail.

Employees will be required to travel. This may require extended periods of time sitting in a vehicle.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Sr. Claim Representative is responsible for the proper handling of claims. Each Sr. Claim Representative will be assigned a specific work cubicle station or an office environment in their home conducive to a productive work environment and / or other individual work areas. The workstation may be located adjacent to other similar workstations. The workstation has the necessary equipment to perform the position duties including personal computer, telephone, file space, and needed work table space.

The environment is reasonably quiet with needed interaction between other team members, immediate supervisor, and other company staff. Moderate noise level from telephone calls is expected.