Claims Service Representative 2 - TL SALV

policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation and negotiation of lower complexity claims in compliance with established company technical and customer service best practices.

Responsibilities include the following:

• Communicate and interact with a variety of individuals including 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, medical and liability data.

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

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

• Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability.

• Coordinate with internal and external departments as required.

• Identify cross-sell opportunities based on members’ product needs and service requests.

• Enhance member relationship by diversifying use of products and services. Provide sales leads to insurance, travel and other departments as appropriate.

Education/Experience:

• Four-year college degree or equivalent combination of education and experience required.

• Prior claims experience required.

• Typically has 6 months to 3 years claims handling experience.

• Moderate computer literacy required.

• General understanding of negligence desired.

• Advanced organization and planning recognition skills required.

• Advanced oral and written communication skills required.