Claim Rep, Sr Casualty

3 weeks ago


Webster, United States Mapfre Full time

Bring your passion and enthusiasm for Claims to our TEAM At MAPFRE we believe we are only as strong as our people. We strive to create an inclusive and welcoming culture, valuing your hard work, integrity and commitment. Come learn and grow with MAPFRE while offering top notch service to our insureds Participate in your own Individual Development Plan (IDP) which serves as your blueprint for outlining your aspirations, goals and activities. We offer a supporting team environment. Our Casualty professionals use their specialized expertise to handle even the most complex matters seamlessly. Be part of this collaborative group of innovative claim handlers. Understandably, comprehensive benefits are important and we offer a generous package that includes: Tuition Reimbursement, Medical, Dental, Vision, Referral Bonuses and 401K match. Social Responsibility is important to MAPFRE and we offer a Volunteer program where employees are provided PTO for giving their time to a charity of their choice. Job Summary Position is Hybrid (2 days in office/3 days remote) In this position, individuals will be handling a pending of Automobile Casualty losses to primarily include moderate severity Bodily Injury and Un/Under Insured Motorist claims. This position requires proficiency in interpreting Personal and Commercial Auto policies and may require multi-jurisdictional claims handling. Refers to and interprets policies and practices for guidance and accurate application. The individual will be responsible for all components of the adjustment process to include screening new losses to determine coverage exposures, thoroughly investigating liability, evaluate claim values, negotiate final disposition of claims with appropriate parties, and issue timely and accurate payments if appropriate. The individual will also be exposed to and responsible for litigation and/or arbitration management of claims. Frequent oral and written communication with medical providers, customers and attorneys are required and these contacts must be timely and professional. Strong telephone customer service skills and the ability to empathize with claimants and customers are needed. Individuals should possess a level of initiative and demonstrate the ability to work both independently and in a team environment with high daily workloads in a fast paced environment. Strong organizational skills, business and decision making skills as well as the ability to maintain a high degree of confidentiality are required. Communication involves creating and delivering varied types of messages and information and may involve persuasion and negotiation. The ability to work independently is expected. May participate in the training of other claims personnel. Knowledge, Skills and Abilities Education: Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience. Experience: 2 - 4 years - or Associates Degree equivalent plus 4 - 6 years. Knowledge: General knowledge of industry practices, standards, and concepts within field of work. Applies them to perform work requiring analytical business skills. Decision Making: Makes decisions related to a wide variety of situations within management limits. Interprets guidelines and procedures, applying judgment and discretion. Decisions influence portions of a project, client relationships and/or expenditures. Supervision Received: Works independently under general supervision. Work is reviewed for overall adequacy in meeting objectives. Leadership: May provide training and guidance to less experienced staff. Problem Solving /Operations/Direct Work Involvement: Develops solutions to a variety of problems, typically of moderate scope and complexity. Refers to and interprets policies and practices for guidance. Client Contacts: Contacts other departments and or external organizations or parties frequently. Contacts are primarily at or below upper management levels. Represents organization on specific projects. Communication may involve persuasion, and negotiation. Additional Knowledge, Skills and Abilities - Two (2) years of claim adjusting experience is required. - Insurance Industry Education desirable. - This position requires excellent written and oral communication skills and the demonstrated ability to organize and prioritize work to assure productivity goals of managing a pending are met. - Strong telephone customer service skills and the ability to empathize is needed. - Must possess basic CRT / PC skills with accurate keyboarding abilities. - Must possess good math skills and be able to work in a fast paced environment. - Completion of the Casualty Claims training program is required. If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at talentacquisitionmapfreusa.com. We are proud to be an equal opportunity employer.



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