Claims Representative - CAT team

Acuity Insurance

11d • $80,000 - $110,000

About The Position

Acuity is seeking a Claims Representative to promptly investigate assigned
claims to determine specifics surrounding a property, auto or general liability
claim. This includes phone contact with involved parties, as well as obtaining
information via phone, fax and e-mail from agents, doctors, attorneys and other
external parties involved in the claim. The claims investigation and evaluation
process includes determining coverage under the insurance policy, evaluating
liability, assessing damages, and forecasting reserves. Throughout the claim
handling process, best in class customer service is expected. Upon completion of
the investigation, the Claims Representative will promptly settle meritorious
claims within their authority.

Requirements

• College degree or equivalent relevant experience.
• Excellent written and verbal communication skills.
• Strong organizational and time management skills.
• Proficiency with current computer technology and claims systems.
• Ability to work independently and collaboratively in a team environment.
• Strong analytical and problem-solving skills.
• Ability to provide consistent, high-quality customer service.

Nice To Haves

• Experience using Xactimate or similar estimating software preferred.
• Customer service or insurance experience preferred.
• Five (5) years of property claims handling experience preferred.
• Bilingual skills are a plus.

Responsibilities

• Proactively investigate, evaluate and resolve assigned multi-line property and liability claims within multiple state venues.
• Make timely and meaningful initial contact with parties involved in the claim, particularly claimants and insureds.
• Accurately evaluate policy coverage by applying claim facts to the policy contract terms.
• Consistently forecast reserves, by setting reserve initially with proper reserve coding and monitoring reserve adequacy throughout the course of the claim, consistent with Acuity’s reserve philosophy.
• Thoroughly investigate assigned claims by conducting phone interviews, obtaining recorded statements, securing photos, and obtaining written reports and/or documents.
• Maintain a personal follow-up task on all claim files to assure timely, proactive handling, efficient claim file organization, quality customer service, and proper management of pending claims.
• Accurate and thorough claim file documentation, to consist of timely entry of activity log entries, claims system screen updates, and imaged documentation.
• Identify potentially fraudulent claims and promptly refer suspect claims to the Special Investigations Unit (SIU).
• Participate in internal claims phone queue as assigned.
• Employ and manage outside vendor resources in a cost effective manner.
• Utilize sound judgment and discretion with settlement authority to properly and effectively resolve claims through negotiation, settlement or denial.
• Successfully manage litigation files according to company guidelines.
• Periodically participate in off-hours storm claims duty as dictated by storm claims volume.
• Maintain a positive, professional attitude.
• Engage in claims educational opportunities, both in-house and external, as sponsored by management.
• Always represent Acuity in a professional manner.
• Complete a mandatory training program as determined by Acuity.
• Regular and predictable attendance.
• Perform other duties as assigned.

Benefits

• Acuity offers a comprehensive benefits package, including a generous 401(k) contribution, medical, dental, vision, life and disability insurance, paid time off, an Employee Assistance Program, and more.
• A full description of benefits and eligibility will be provided to candidates during the hiring process.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees