Claim Representative II - Property

Church Mutual Insurance Company, S.I.•,

7d•Hybrid

About The Position

The Claims Representative II handles low-to-moderate-value commercial property claims that are generally short in duration and have lower indemnity. Claims may involve property damage, business personal property, and building damage. The role gathers and reviews claim information, determines coverage, conducts investigations, communicates with customers, documents claim activity in the claim system, sets reserves, and makes payments within the assigned authority. It also investigates and refers appropriate claims to Loss Recovery Services. The position is preferably 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 company’s Milwaukee or Madison, Wisconsin offices.

Requirements

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 the following: insurance, automobile, medical, or property claims.

Nice To Haves

Two to four years of claim handling and/or insurance-related experience is preferred.
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 is desirable.
Completion of courses in one or more of the INS, AIC, or CPCU designations is preferred.

Responsibilities

Handle low-to-moderate-value commercial property claims, including property damage, business personal property, and building damage.
Complete claim tasks promptly and document claim files and handling activities appropriately.
Manage claim activity proactively to support fair resolution and comply 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 citing facts and policy language.
Conduct investigations appropriate to each claim’s type, complexity, and severity; evaluate exposure and damages, including potential liability or compensability denials; and document an action plan.
Determine and set reserves based on the most probable claim outcome, within assigned authority.
Evaluate and negotiate with insureds or their representatives on cases within authority; review claim facts and exposure with claims management when appropriate.
Make complete, accurate, and timely payments for covered losses within authority, and refer claims above authority to management for review and potential reassignment.
Maintain professional, courteous, and helpful communications with internal and external customers and business partners in person, by phone, email, or other correspondence.
Identify when vendor partners such as experts or independent adjusters are needed; assign and direct vendors and conclude assignments when they no longer add value.
Investigate and refer identified claims to Loss Recovery Services, as applicable.
Complete other assigned duties as requested.