Claims Representative I

Goodville Mutual Casualty Company•New Holland, PA

1d•Hybrid

About The Position

This position is responsible for adjusting and settling claims for all lines of business written by the company with settlement authority up to $7,500. Functions: Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act. Verify policy coverage on assigned claims. Investigate and evaluate assigned claims for proper settlement. Assign independent adjusters and appraisers when necessary. Pursue subrogation, salvage, and third-party liability contribution. Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $7,500. Establish proper reserves on assigned claims. Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager. Attend claim seminars and participate in claim associations. Perform other duties as assigned by Claims Manager and Supervisor.

Requirements

High school education required.
Ability to learn the coverages of all insurance policies written by the company required.
Effective communication skills required.
Ability to work effectively with company computer systems required.
Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota) and travel to vendor work sites required.
Ability to work in an office environment with moderate noise level, remain in a stationary position and operate a computer a majority of the time required.
Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required.
Ability to perform the essential functions of the job with or without reasonable accommodation required.

Nice To Haves

Minimum of one year of work experience in a customer service role preferred.
Willingness to participate in insurance related study courses preferred.

Responsibilities

Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
Verify policy coverage on assigned claims.
Investigate and evaluate assigned claims for proper settlement.
Assign independent adjusters and appraisers when necessary.
Pursue subrogation, salvage, and third-party liability contribution.
Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $7,500.
Establish proper reserves on assigned claims.
Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager.
Attend claim seminars and participate in claim associations.
Perform other duties as assigned by Claims Manager and Supervisor.