Casualty Claims Representative

JOB SUMMARY: Investigates and effectively resolves personal lines bodily injury/liability claims via telephone or face-to-face investigation or negotiation. Responsible for the disposition of claims in accordance with prescribed authority and according to best claims practices.

LOCATION: Property Casualty Claims Standard
RELATIONSHIP: Reports to Claims Manager

JOB RESPONSIBILITIES:
1.
Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned liability/bodily injury claims cases in accordance with company policies and procedures at values commensurate with damages sustained.
2.
May serve as the single point of contact for personal lines material damage claims, including non-standard.
3.
Plans and executes all time schedules necessary to promptly and effectively conclude all assigned cases; adheres to high standards of professional conduct commensurate with the delivery of superior service.
4.
Authorizes and/or approves all claims payments within the delegated authority or within the maximum limits as outlined in company policies and procedures.
5.
Prepares and submits initial and follow-up reports of findings and action taken on each assigned claim in conformity with established procedures.
6.
Assists or prepares files for suit, trial, or subrogation.
7.
Submits expense reports and other administrative reports as required.
8.
Works in partnership with sales and underwriting in the acquisition and preservation of desirable risks.
9.
Properly maintains all assigned company equipment.
10.
Performs all other duties as required.
NOTE: Representatives may be assigned to a special claims segment such as PIP (Personal Injury Protection), Liability, Single Point of Contact (SPOC), or Bodily Injury (BI).


JOB REQUIREMENTS:
Education/Knowledge: Undergraduate degree preferred. CPCU coursework a plus. State licensing where required. Successful completion of required claims certification schools. General knowledge of insurance theory and practices; insurance contracts and their application. Familiarity with automated claims system and medical terminology.

Experience: One-year casualty claims handling experience. Experience in a customer service environment including flexible work schedules and extended work hours.