Claims Service Representative I
2 weeks ago
This position supports the Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and /or liability lines of insurance written by the Interinsurance Exchanger in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service Best Practices. Under general technical direction, works within specific limits of authority.
What you will do:
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.
Evaluate and determine claims 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.
Verity and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external department as required.
Handle administrative functions, update database production reports, and document and update claims files via company systems, i.e. CACS, HUON, HOC, etc.
What you bring:
Four-year college degree or equivalent combination of education and work experience required.
Prior claims handling experience desired.
General understanding of negligence desired.
Proficiency with MS Office and industry-related software preferred.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plan with company match AND Pension
• Tuition assistance
• PTO for community volunteer programs
• Wellness program
• Employee discounts (membership, insurance, travel, entertainment, services and more)
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer
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