Casualty Claims Rep V

7 days ago

Macon, Georgia, United States GFB Mutual Insurance Company Full time
OF ESSENTIAL DUTIES:
  • Investigate, evaluate and negotiate complex automobile claims including non-injury, serious injury claims, fatality losses, UMBI exposures, liability exposures across multiple polices, and claims involving litigation.
  • Determine proper policy coverages, investigate, evaluate, negotiate and equitably settle all assigned casualty claims in accordance with company guidelines and best claims practices.
  • Establish and authorize reserve and claim payments and monitor reserves through the life of the file.
  • The employee will be expected to handle numerous claims and to maintain a healthy diary system.
  • Settlement negotiations with claimants, policy holders, and other parties are crucial to the position.
  • Ability to multitask and address unexpected situations while showing the flexibility to do so.
  • Maintain high standards of professional conduct while delivering superior customer service.
  • The employee may assist other key Claims units in times of need.
  • Closely work with in house litigation unit as well as outside defense counsel.
  • Expected to meet with multiple members of management at once to discuss and advise on claim actions in both written and verbal format.
  • Continue job development through training.
  • Maintain a high degree of confidentiality.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel so classified

OTHER RESPONSIBILITIES/REQUIREMENTS

Other duties as assigned by Manager or Supervisor

QUALIFICATION, EDUCATION AND EXPERIENCE REQUIREMENTS:

  • Requires:
  • 4 year college degree plus 6 years casualty experience with bodily injury adjusting experience; or
  • 10 years of property and casualty with bodily injury adjusting experience
  • AIC, CPCU or other insurance certification strongly desired.
  • Must be able to read, analyze and interpret procedures, regulations, instructions, manuals and other documents as required. Excellent telephone, public relations and oral/written communication skills are required.
  • Must be able to solve practical problems and deal with a variety of concrete variables. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.
  • Must possess basic skills and be proficient or have demonstrated aptitude with computers including experience with Excel, Word, and web based systems.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

  • While performing the duties of this job, the employee is required to operate in a normal office environment with occasional travel necessary to visit office locations, conduct investigations, attend conferences/training classes and meetings.
  • The employee is required to sit, use hands to finger, handle controls and talk and hear.
  • The employee frequently is required to reach with hands and arms.
  • The employee is occasionally required to stoop, lift and move up to 30 pounds.
  • Specific vision requirements by this job include close vision.
  • Must maintain a valid Georgia driver's license

The above statements reflect the general details necessary to describe the principle functions of the occupation described and shall not be construed as a detailed description of all the work requirements that may be inherent in the occupation.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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