Claims Representative II - Casualty

The Auto Club is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service.

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Responsibilities include:

• Communicate and interact with a variety of individuals possibly to include some face to face interactions with insureds and claimants.

• Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.

• Conduct phone and/or field investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses.

• Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.

• Negotiate within settlement authority with insureds and claimants to resolve their first- and third-party claims.

• Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. Guidewire HUON, HOC, etc.

• Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.

• Perform other duties and responsibilities as assigned or required.

Knowledge/Skills/Competencies:

• 4-yr. College Degree or equivalent combination of education and/or preferred 2- 3 years Casualty work experience .

• Computer and line of business technical software skills required.

• General knowledge of negligence and subrogation principles required.

• Advanced organization and planning recognition skills required.

• Advanced oral and written communication skills required.

• Advanced interpersonal skills required.