Claim Representative III - Property

Church Mutual Insurance Company, S.I.•,

7d•Hybrid

About The Position

Handle moderate-value commercial property claims of moderate duration and indemnity, which may involve property damage, business personal property, and building damage. Apply state and federal laws and company best practices while gathering and reviewing claim information, determining coverage, conducting investigations, communicating with customers, documenting activity in the claim system, setting reserves, and making payments within authority. The role also investigates and refers claims to Loss Recovery Services when appropriate. The preferred arrangement is hybrid, working in the office Tuesday through Thursday at the Merrill, Wisconsin location. Fully remote candidates may also be considered if they are not within commuting distance of the Milwaukee or Madison, Wisconsin offices.

Requirements

At least five years of claim handling and/or other insurance-related experience.
Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.
Ability to think independently and remain detail-oriented and organized.
Strong listening, verbal, and written communication skills.
Knowledge of policy terminology and legal principles involving at least one or more of insurance, automobile, medical, and property claims.

Nice To Haves

Bachelor's degree preferred; equivalent education and/or experience may be considered in lieu of a degree.
Additional training in insurance, construction, or restoration, and/or knowledge of building terminology.
Completion of courses toward one or more of the INS, AIC, or CPCU designations.

Responsibilities

Complete claim tasks promptly and document claim files appropriately.
Proactively manage claims to achieve fair resolution and handle claims in accordance with state and federal laws.
Gather information to verify coverage and make informed, fair, equitable, and ethical decisions; deny losses under limited supervision with detailed explanations supported by facts and policy language.
Conduct thorough investigations based on claim type, complexity, and severity; evaluate exposure and damages, including potential liability or compensability denials; and document an action plan.
Set reserves based on the most probable claim outcome and within authority.
Evaluate and negotiate with insureds or their representatives on cases within authority.
Review claim facts and exposure with claims management as appropriate, refer claims above authority for review and potential reassignment, and make accurate, timely payments for covered losses within authority.
Communicate professionally and courteously with internal and external customers and business partners in person, by phone, email, and other correspondence.
Identify when vendor partners are needed, assign and direct experts, independent adjusters, or other vendors, and conclude assignments when vendors are no longer adding value.
Investigate and refer identified claims to Loss Recovery Services as applicable.
Complete other assigned duties as requested.