Claims Service Specialist I

Under immediate supervision, investigate and dispose of first and third party claims. All payments will be approved until authority has been granted. Extremely limited settlement authority as determined by Claim Manager.

Key Responsibilities

Timely completion of all case activities, maximizing customer service and minimizing net loss payout.

Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing.

Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system.

Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system.

With guidance, negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level.

Will keep management informed of activities and problems with in assigned area of responsibility.

Pursues subrogation and may arrange for salvage to obtain the maximum recovery.

Provides information to all interested parties, including the local agents, by answering routine questions regarding the status of the claim.

Maintain claim files and document claim file activities in accordance with established procedures.

Will successfully complete all required in-house training.

Performs other related duties as required or requested.

Requirements

Success will be measured based on individual results compared to all established department standards in Customer Service, Teamwork, Loss and Expense Management as well as Continuous Improvement.

---