Claims Representative I

Penn National Insurance•Waukesha, WI

1d•Hybrid

About The Position

The Claims Representative I investigates, evaluates, and disposes of assigned claims in a timely manner, seeking best-practices settlements within applicable legal statutes, policy provisions, and company or client guidelines. This is a hybrid position reporting to the Waukesha, Wisconsin office. The role develops claims files from initial assignment through disposition, documents actions accurately and completely, and completes work such as verifying coverage, setting or adjusting reserves, and making appropriate contacts. The representative works with insureds, claimants, agents, underwriting, medical and legal professionals, appraisers, independent adjusters, and internal colleagues to investigate and resolve claims. The position also identifies potential subrogation, contribution, and salvage opportunities and collaborates with claims leadership and the Home Office on case strategy as needed. The estimated hiring range is $64,000–$90,000. Eligible employees may also participate in the annual incentive program, subject to plan eligibility. The position is primarily sedentary, with occasional standing and walking in the office, and requires computer-based work, use of office equipment and communication systems, accurate entry and access of information, and effective communication and presentation abilities.

Requirements

Bachelor’s degree preferred.
Adjuster’s license, or willingness to obtain one as required.
Good understanding of tort and state laws applicable to assigned claims, the Unfair Claims Settlement Act, and insurance policy coverages and provisions.
Good understanding of terminology applicable to assigned claims, including medical, legal, automotive, and construction terminology.
Good oral and written communication, interpersonal, negotiation, customer service, analysis and evaluation, decision-making, planning, and organization skills.
Strong sense of urgency.
Good PC skills, with emphasis on Microsoft Office products.
Ability to work independently and as a member of a team.
Ability to perform computer-based tasks, access digital information, use office equipment and automated systems, and accurately enter information.
Ability to communicate effectively with internal and external clients by telephone, electronically, or through other communication systems, and to present information to individuals and groups.
Ability to interpret and apply concepts that may or may not be based on established guidelines.
Ability to maintain acceptable attendance and adhere to scheduled work hours.

Nice To Haves

Continuing education in insurance-related courses, such as The Institutes Certificate in General Insurance (AINS) and Associate in Claims (AIC) courses.
Three years of progressive experience in a property/casualty claims-handling position.

Responsibilities

Establish and maintain effective relationships with insureds, claimants, agents, underwriting, medical and legal professionals, appraisers, and independent adjusters to support communication and claim resolution.
Identify and pursue subrogation, contribution, and salvage opportunities when available to reduce or recover payments.
Communicate tactfully and completely to support negotiations, develop rapport, and represent the company positively.
Develop claims files from initial assignment through disposition.
Prepare accurate and complete claim file documentation to justify actions and maintain an effective audit trail.
Achieve best-practices settlements when disposing of claims.
Complete claim actions on time, including verifying coverages, setting or adjusting reserves, and making appropriate contacts.
Collaborate with the Team Leader, Manager, and Home Office as needed to develop case strategy, advance investigations, and dispose of claims.
Initiate self-development and training to improve, maintain, or acquire claims-handling skills.
Perform other duties as assigned by reporting leaders.
As applicable, conduct outside personal adjusting, interviews, inspections, and scene investigations, and secure personnel records from clients.
As applicable, participate as a member of a Claims Catastrophe Team.