Auto Claims Representative

SET SEG•East Lansing, MI

3d•Onsite

About The Position

SET SEG is looking for an Auto Claims Representative that will be responsible for the end-to-end handling of assigned auto physical damage claims, with additional exposure to small property damage claims based on business needs. This role serves as a primary point of contact for members and plays a key role in delivering high-quality customer service through timely communication, sound judgement, and consistent adherence to organization standards. This position requires the ability to balance efficiency with accuracy while maintaining detailed documentation and compliance with applicable laws, regulations, and internal claims handling guidelines.

Requirements

Bachelor’s degree preferred; minimum of two (2) years of claims experience, with a strong preference for auto physical damage exposure.
Excellent verbal and written communication skills, with the ability to deliver clear, professional, and customer‑focused communication to members, vendors, and internal stakeholders.
Strong organizational and time‑management skills, including the ability to prioritize, multitask, meet deadlines, and independently follow up on open items.
Maintain a high level of professionalism.
Proficiency in Microsoft Office applications, including Excel and Word, with the ability to use technology effectively to document, track, and communicate claim activity.
Commitment to continuous learning including willingness to participate in ongoing education with industry recognized training (IIA, AIC or INS or other relevant claims designations).

Responsibilities

Investigate, evaluate and process assigned auto physical damage and small property damage claims.
Serve as a primary point of contact to members via phone, email, fax and written correspondence regarding claim requests, status updates, and coverage explanations.
Provide high-quality customer service in a fast-paced environment.
Manage a high-volume claim workload, prioritizing tasks to meet service expectations, regulatory requirements, and organizational standards.
Maintain accurate, timely, and well‑organized documentation within the claims management system while managing multiple active claims concurrently.
Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.
Assign and coordinate vendors for claim-related activities and manage incoming vendor reports.
Ensure claims are handled in compliance with applicable laws, regulations, and internal claims handling standards, with an emphasis on quality and consistency.
Monitor and coordinate work performed by outside investigators, auto appraisers, and independent adjusters.
Facilitate salvage and subrogation activities, including monitoring recoveries on assigned claims.
Deliver clear, accurate, and customer‑friendly coverage explanations and written correspondence, helping members understand claim decisions and next steps.
Collaborate closely with internal teams, including risk control, underwriting, and claims leadership to support effective claim outcomes.
Other duties as assigned by supervisor.