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Claims Service Representative

2 months ago


Chicago, Illinois, United States ISMIE Mutual Insurance Company Full time
Job Title: Claims Service Representative

Job Summary:

The Claims Service Representative plays a vital role in providing exceptional service to policyholders by handling initial loss reports, creating claim files, and assisting with investigations. This position requires strong communication skills, attention to detail, and the ability to work in a fast-paced environment.

Key Responsibilities:

  • Assist policyholders with initial loss reports and create claim files in a timely and accurate manner.
  • Provide technical support to the Claims Division on file set-ups and assist with investigations.
  • Act as a liaison between ISMIE Mutual/Indemnity and policyholders, providing guidance and support as needed.
  • Review policy coverage and advise Claim Managers of potential issues and proposed resolutions.
  • Handle files for Deposition Assistance, Supplemental Benefits, and Investigations.
  • Review and approve legal, expense, and other necessary invoices.
  • Provide timely responses to requests for loss histories and Certificates of Insurance.
  • Triangulate and manage correspondence in Legal Tracker.

Requirements:

  • High School degree or equivalent, with some college and/or one-two years of claim handling or related experience desired.
  • Strong service-oriented attitude with the ability to discuss medical facts with physicians.
  • Excellent verbal and written communication skills, as well as computer literacy.

Physical Requirements:

  • Close visual acuity to read extensive amounts of written information in a standard font for an extended period.
  • Ability to view and read from computer screens and printed materials.
  • Ability to receive detailed information through oral communication.
  • Ability to type, operate a keyboard, computer, and computing device.
  • Ability to analyze complex data and information.
  • Ability to move about to accomplish tasks, attend meetings, and scheduled events inside the office.

Work Environment:

The Claims Service Representative will work in the Chicago office, providing quality service to policyholders and supporting the Claims Division.