Sr Claims Rep-Inside

5 days ago

Cedar Rapids, United States United Fire & Casualty Full time

UFG is currently looking for a Sr. Claims Representative to join our Claims team.As a Sr. Claims Representative you will investigate, through correspondence or telephone, assigned bodily injury claims.Occasionally will make an on-scene inspection to take photos etc., if necessary. Examine policy forms to verify coverage, interview claimants or witnesses, obtain police or hospital reports, and all other information pertinent to the claim, analyze, evaluate, negotiate and settle claims.

Responsibilities:

  • Review new claims assignment to determine the nature and severity of the claim and intended action required.
  • Manage and execute all claim functions such as maintaining proper claims documentation within claims management system, reserving, claim payments, expense factors, and file notes.
  • Make prompt, meaningful contact with insureds or claimants.
  • Maintain proper communication channels with internal and external customers as defined by claims best practices.
  • Conduct a timely and thorough investigation to identify risks/exposures which may include: conducting interviews, procuring recorded statements, relevant documents and identify others possessing facts or involvement with the claim - to determine extent and severity of potential loss.
  • Evaluate, manage and/or recommend claim file reserves.
  • Review and interpret policy to determine coverage.
  • Determine and communicate liability decision with all relevant parties.
  • Inform underwriting if increased hazards or unusual circumstances concerning a risk/policy exposure.
  • Disposition of claims through effectively negotiating and settling and/or denial.
  • Actively identify subrogation potential and posture claim for successful subrogation.
  • Recognize and promptly address litigation potential, work cohesively with defense counsel, and attend mediation and settlement conferences as needed.
  • Participate in continuing educational programs to develop and maintain knowledge of products, procedures, and industry trends.
  • Investigate and resolve complex claims.
  • Handle attorney represented, potential for litigated claims.
Qualifications:

Education:
  • High school diploma
  • 2 or 4 year degree preferred
Certifications/Designations:
  • Relevant designation required, AIC or SCLA preferred
  • Within 2 years of hire, must begin working toward designations as deemed appropriate by supervisor
  • Meet the appropriate state licensing laws required to handle "multi line" claims
Experience:
  • 5+ years of general work experience
Knowledge, skills & abilities:

Knowledge of:
  • Claims best practices
  • Extensive knowledge of policies
  • Understanding of unfair claims practices
  • Knowledge of venue and regulations
  • Expanded knowledge of legal process & terminology
  • Familiar with all available resources
  • Very familiar with alternative dispute resolution techniques
  • High-level knowledge of the entire claim process
  • Familiarity with diverse & complex claims
Skills:
  • Customer focused
  • Communication
  • Time management/Multi-tasking
  • Embrace Change & Ambiguity
  • Social Awareness
  • Problem-solving
  • Analytical Thinking
  • Negotiation (more advanced)
  • Optimize work processes
  • Decision quality
Coaching / developing others
  • Solution Driven
  • Self Driven

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