Claims Representative I

Penn National Insurance•Waukesha, WI

2d•$64,000 - $90,000•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 role reporting to the Waukesha, Wisconsin office. The position develops claims files from initial assignment through disposition, documents claim files accurately and completely, verifies coverage, sets or adjusts reserves, makes appropriate contacts, and pursues available subrogation, contribution, and salvage opportunities. It builds effective working relationships and communication channels with insureds, claimants, agents, underwriting, medical and legal professionals, appraisers, independent adjusters, and internal claims personnel. The representative may collaborate with a Team Leader, Manager, and Home Office on case strategy and claim resolution. The role may involve outside personal adjusting, interviewing, inspections, scene investigations, and obtaining personnel records from clients for positions in Inservco. It may also include participation on a Claims Catastrophe Team for positions in Penn National Insurance. The position is primarily sedentary, with occasional standing and walking in the office, and requires effective use of computer systems and office equipment, accurate entry and interpretation of information, communication with internal and external clients, and adherence to scheduled work hours. The estimated hiring range is $64,000–$90,000. Eligible employees may also participate in the annual incentive program. The company describes a total rewards package that includes a 401(k) match, graded profit sharing, incentive compensation, flexible scheduling, remote and hybrid work options, employee recognition, continuing education support, tuition reimbursement, and professional development opportunities.

Requirements

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 skills.
Good interpersonal, negotiation, customer service, analysis, evaluation, and decision-making skills.
Strong sense of urgency.
Good PC skills, particularly with Microsoft Office products.
Good planning and organization skills.
Ability to work independently and as a member of a team.
Ability to perform computer-based tasks, access and enter information accurately in automated systems, and use office equipment as needed.
Ability to communicate effectively with internal and external clients by telephone, electronic, or 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.
Adjuster's license, or willingness to obtain one as required.

Nice To Haves

Bachelor's degree.
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

Investigate, evaluate, and dispose of assigned claims in a timely manner and in accordance with legal statutes, policy provisions, and company or client guidelines.
Establish and maintain quality relationships with insureds, claimants, agents, underwriting, medical and legal professionals, appraisers, and independent adjusters.
Identify and pursue available subrogation, contribution, and salvage opportunities to reduce or recover payments.
Use appropriate, tactful, and complete communications to support negotiations, develop rapport, and project a positive corporate and personal image.
Develop claims files from initial assignment through disposition.
Prepare accurate and complete claim file documentation to justify actions and provide an effective audit trail.
Achieve best-practices settlements in claim dispositions.
Complete actions promptly, including verifying coverage, 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 resolve 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 adjusting, interviews, inspections, scene investigations, or obtain client personnel records; and/or participate on a Claims Catastrophe Team.

Benefits

Generous 401(k) match.
Graded profit sharing.
Incentive compensation and possible participation in an annual incentive program, subject to eligibility.
A wide range of benefits supporting financial health, physical well-being, and career development.
Remote and hybrid work options.
Flexible scheduling.
Dress-for-your-day culture.
Employee recognition programs.
Continuing education support.
100% tuition reimbursement for academic studies.
Professional development and designation programs, including CPCU, AINS, CPA, and CISSP.
Employee volunteering opportunities and company support for community charitable efforts.