Claims Representative

3 weeks ago


Cedar Rapids, Iowa, United States United Fire & Casualty Full time
{"Responsibilities": "Key Responsibilities
  • Review new claims assignments 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 the 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 identifying others possessing facts or involvement with the claim - to determine the 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.
  • Process first and third-party claims with clear liability and no injury.
  • Investigate and process non-complex claims.
  • Handle non-attorney represented claims.
", "Qualifications": "Qualifications
  • Education: High school diploma, 2 or 4-year degree preferred.
  • Certifications/Designations: None required, within 2 years of hire, must begin working toward AIC and other designations deemed appropriate by supervisor.
  • Meet the appropriate state licensing laws required to handle "multi-line" claims.
  • Experience: 1+ years of general work experience.
  • Knowledge, skills & abilities: Claims best practices, familiar with policies, aware of unfair claims practices, knowledge of venue and regulations, basic legal terminology, knowledge of available resources, customer-focused, communication, time management/multi-tasking, embrace change & ambiguity, social awareness, problem-solving, analytical thinking, negotiation, optimize work processes, decision quality.
", "Working Conditions": "Working Conditions
  • Working out of home or office (general office conditions), and/or occasional field assignments as agreed with Regional Claims Manager and Supervisor.
  • Some exposure to high stress/fast-paced environment.
  • Travel might be required on occasion.
  • Lifting/carrying up to 50lbs might be required on occasion.
", "Job Summary": "United Fire & Casualty is currently hiring for a Claims Representative who will investigate, through correspondence or telephone, assigned auto property damage claims. Occasionally, the representative will make an on-scene inspection to take photos, etc., if necessary. The representative will examine policy forms to verify coverage, interview claimants or witnesses, obtain police or hospital reports, appraisals, and all other information pertinent to the claim, analyze, evaluate, negotiate, and settle claims."}

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