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Claims Representative

2 months ago

Detroit, Michigan, United States NJ CURE Full time
Job Summary

A Third-Party Property Damage Claims Representative is responsible for handling Auto Physical Damage Claims in accordance with all relevant laws and regulations. Reporting to the Property Damage Liability Manager within the PD Department, this role exists in a fast-paced environment, with heavy phone work.

Key Responsibilities:
  • Investigate and Interpret Policy Provisions: Assist in making a coverage determination by investigating and interpreting policy provisions, endorsements, and conditions.
  • Accident Investigation: Investigate auto accidents to make a liability assessment, including interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties, as well as securing pertinent records, documentation, and loss scene information.
  • Loss Evaluation: Evaluate each loss to determine the proximate cause, degree of negligence, and damages.
  • Customer Service: Maintain a high-level customer service at all times.
  • Claim Negotiation and Settlement: Negotiate and settle claims within authority level, properly escalating higher-value claims for review and approval to department supervisors.
  • Vehicle Inspections: Coordinate vehicle inspections utilizing photo estimating, independent appraisers, direct repair shops, and/or staff.
  • Regulatory Compliance: Maintain strict adherence to established timeframes for follow-ups to ensure all claims are handled in accordance with NJ Unfair Claims Settlement Practices and Regulations and the PA Unfair Claims Settlement Act.
  • Industry Knowledge: Use knowledge and expertise to handle all claims in accordance with industry laws and regulations.
  • Loss and Expense Control: Incorporate the principles and practices of loss and expense control in all facets of work performed.
  • Training and Development: Attend required or necessary training sessions, courses, etc. to further develop insurance industry and general business expertise, and participate actively in individual development planning and cross-training on an ongoing basis.
Requirements:
  • Education: High School Diploma or GED equivalent required. Recent college graduates are encouraged to apply.
  • Experience: Minimum of 1-2 years NJ/PA/MI claims experience required.
  • Industry Designations: Industry designations a plus, but not required.
  • Communication Skills: Excellent written, oral, interpersonal, and negotiation communication skills, as well as a strong customer service orientation.
  • Organizational Skills: Highly organized working style with an ability to manage time and caseload and strong attention to detail, with commitment to meeting individual and team goals.
  • Technical Proficiency: Technical proficiency with computers, standard business, and insurance software (to include working knowledge of Google suite products), use and navigation of internet and cloud-based applications, and an ability to navigate and utilize multiple systems concurrently is required.