Claims Service Representative
Claims Service Rep - PLCU
In this position, employee manages claims associated with the existing personal line products (HSP, SL and IDR). Provides customers with quality and service that is consistent with established claims management standards. Key responsibilities includes, but not limited to, prompt contact, timely assessment of damages, investigation relative to the cause of loss, application of relevant coverage, creation of a plan for claim evaluation and resolution, and achievement of the most efficient, cost-effective resolution. Adhere to established claims management standards to produces claim files that reflect accuracy, timeliness, efficiency and distinctive customer service.
Manages Assigned Inventory of Claim Files:
Manages the day-to-day adjustment of assigned claims in accordance with established claims management standards with focus on claims quality and customer service. Resolves assigned claims within published settlement authority, seeking approval for resolutions in excess of published authority. Ensures timely diary/task completion, controlled inventory management and compliance with established regulatory/legal guidelines.
Applies Business Acumen and Technical Expertise:
Maintains a deep and current understanding of policies, practices, trends, and information affecting products lines managed. Builds and executes a personal development plan to broaden understanding and enhance skills and competencies.
Demonstrates Teamwork and Team Building:
Is an advocate for the organization and exemplifies behaviors that focus on the greater good of the organization.
Bachelor's Degree preferred
3+ years of insurance claim experience preferred
Customer facing experience
State or jurisdiction-required certifications exams and/or adjusting licenses AIC, CPCU or SCLA preferred
Knowledge and Skills:
Ability to function independently as well as in an environment of teamwork and collaboration.
Superior coverage analysis skills and command of a wide range of commercial liability insurance policies.
Ability to navigate difficult situations with both internal and external groups.
Excellent organizational and time management skills
Ability to influence and negotiate.
Possess strong customer service skills and behaviors.
Makes decisions in an informed, confident and timely manner.
Strong verbal communication skills including an excellent phone manner, and strong written communications skills to include coverage and legal vernacular.
Proficient in Microsoft Windows, MSWord, Internet and ability to prepare, update and manipulate MSExcel spreadsheets.
We are an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
The work environment characteristics, and any physical and mental requirements 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.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Hartford Steam Boiler
United States of America