Field Claims Representative II

6 days ago


Fond du Lac, Wisconsin, United States Society Insurance Company Full time
About the Role

We are seeking an experienced Field Claims Representative II (property focused) to join our Claims Team at Society Insurance Company. This position has a first-party property loss focus and will serve our policyholders in the Illinois/Iowa Quad Cities territory.

This role will resolve moderate-to-severe claims on multiple lines of coverage by performing field investigations, determining and documenting losses, and negotiating out-of-court settlements throughout the claims territory.

Key Responsibilities
  • Settle moderate to severe claims by determining insurance carrier's liability; reaching agreement with claimant according to policy provisions; and handling mediations, arbitrations, and subrogation within authority level.
  • Determine coverage by meeting with insureds; securing evidence; inspecting losses; investigating incidents; interpreting policy coverages; explaining coverages; and determining subrogation and salvage.
  • Document required repairs by scoping property losses; hiring necessary experts; obtaining costs and prices; preparing estimates; and reviewing business interruption exposures.
  • Develop and maintain expertise in specified line(s) of business. Mentor and train claims representatives in area(s) of claims expertise by assisting in identifying training needs and opportunities.
  • May be involved with litigation by analyzing negotiated settlement options; evaluating evidence; and overseeing attorneys in the handling of discovery and settlement.
  • Complete claims by obtaining, providing, and exchanging information and agreements with contractors, attorneys, health care providers, and other third parties.
  • Provide claims information by documenting claims transactions of assigned files in compliance with company and state requirements; and preparing loss development reports.
  • Contribute to team effort by participating on catastrophe teams.
  • Assist home office claim representatives on claims in assigned coverage territories.
  • Ensure company guidelines and procedures are followed by overseeing independent adjusters during investigations; and overseeing attorneys in the handling of discovery and settlement.
About You

We are looking for a candidate who enjoys communicating and building relationships with others. You should be composed, cool under pressure, and able to negotiate without damaging relationships.

You should hold yourself accountable and accept ownership for your scope of responsibility. You should enjoy analyzing, investigating, and using the facts to make decisions.

You should be naturally curious and have a desire to know more.

Requirements
  • Bachelor's Degree and 5+ years of claims-handling experience OR 7+ years of field claims-handling experience
  • Technical proficiency in Commercial Property and/or Casualty Claims
  • Familiarity with technology to include Microsoft Office, spreadsheets, and Internet.
  • Ability to obtain and maintain proper licensing prior to handling a state that requires it.
  • Valid driver's license and a satisfactory driving record.
  • Physical ability to climb a ladder to access a roof and ability to lift up to 10 pounds.
  • Professional designations of AIC, ARM, CIC, CPCU or equivalent coursework highly preferred.
  • Familiarity with estimating software highly preferred.
Benefits
  • Comprehensive Benefits Package: Salary with Bonus Plan; Health, Dental, Life, and Vision Insurance
  • Retirement: Traditional or Roth 401(k); Defined Contribution Plan; PLUS Profit-Sharing Plan
  • Work-Life Balance: Company-Paid Holidays; Flexible Scheduling; PTO; and Telecommuting Options
  • Education: Career Coaching; Company-Paid Courses; Student Loan and Tuition Reimbursement
  • Community: Charitable Match; Paid Volunteer Time; and Team Sponsorships
  • Wellness: Employee Assistance Program; Wellness Initiatives/rewards; Health Coaching; and more


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