Claims Investigator

Acuity is seeking a Claims Representative to join our team in January 2025. As a Claims Representative, you will investigate assigned claims to determine the specifics surrounding a property, auto, or general liability claim.

This includes phone contact with involved parties, as well as obtaining information via phone, fax, and email from agents, doctors, attorneys, and other external parties involved in the claim.

The claims investigation and evaluation process involves determining coverage under the insurance policy, evaluating liability, assessing damages, and forecasting reserves, while providing best-in-class customer service.

• Proactively investigate, evaluate, and resolve assigned multi-line property and liability claims within multiple state venues.
• Make timely and meaningful initial contact with parties involved in the claim, particularly claimants and insureds.
• Accurately evaluate policy coverage by applying claim facts to the policy contract terms.
• Consistently forecast reserves, by setting reserve initially with proper reserve coding and monitoring reserve adequacy throughout the course of the claim, consistent with Acuity's reserve philosophy.
• Thoroughly investigate assigned claims by conducting phone interviews, obtaining recorded statements, securing photos, and obtaining written reports and/or documents.
• Maintain a personal follow-up task on all claim files to assure timely, proactive handling, efficient claim file organization, quality customer service, and proper management of pending claims.
• Accurate and thorough claim file documentation, to consist of timely entry of activity log entries, claims system screen updates, and imaged documentation.
• Identify potentially fraudulent claims and promptly refer suspect claims to the Special Investigations Unit (SIU).
• Participate in internal claims phone queue as assigned.
• Employ and manage outside vendor resources in a cost-effective manner.
• Utilize sound judgment and discretion with settlement authority to properly and effectively resolve claims through negotiation, settlement, or denial.
• Successfully manage litigation files according to company guidelines.
• Maintain a positive, professional attitude.
• Engage in claims educational opportunities, both in-house and external, as sponsored by management.
• Always represent Acuity in a professional manner.
• Complete a mandatory training program as determined by Acuity.
• Regular and predictable attendance.
• Perform other duties as assigned.

• College degree or equivalent relevant experience.
• Customer service or insurance experience preferred.

Selected candidates will be required to participate in on-site training up to 10 weeks within their first year. All expenses related to this training, including travel and accommodations, will be fully covered by Acuity.

Acuity is an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province, or Local status unrelated to the performance of the work involved.