About The Position

The Claims Representative analyzes general liability and bodily injury claims on behalf of clients to determine benefits due. The role ensures ongoing claim adjudication meets service expectations, industry best practices, and specific client service requirements. This is a remote position covering all states and requiring a home-state license. The representative investigates claims, gathers information to determine exposure, and develops action plans to reach appropriate and timely resolutions. The role also involves negotiating settlements within designated authority, communicating claim activity and processing to claimants and clients, and reporting claims to excess carriers while responding to their requests for direction. The position requires a high school diploma or GED and at least two years of claims management experience or an equivalent combination of education and experience. A bachelor's degree and relevant professional certification are preferred.

Requirements

  • High school diploma or GED.
  • At least two years of claims management experience, or an equivalent combination of education and experience.
  • Home-state license required.
  • Knowledge of all-state jurisdictions.

Nice To Haves

  • Bachelor's degree from an accredited college or university.
  • Professional certification applicable to the line of business.

Responsibilities

  • Analyze and process claims using well-developed action plans to reach an appropriate and timely resolution.
  • Investigate claims and gather information to determine claim exposure.
  • Negotiate claim settlements within designated authority.
  • Communicate claim activity and processing with claimants and clients.
  • Report claims to the excess carrier and respond to requests for direction professionally and promptly.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • Medical, dental, and vision coverage.
  • 401(k) and matching.
  • Paid time off (PTO).
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending account or health savings account.
  • Additional voluntary benefits.
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