Claims Representative I or II

Goodville Mutual Casualty Company•Napoleon, OH

3d•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. The role involves handling claims according to company guidelines and in compliance with the Unfair Claims Practices Act, verifying policy coverage, investigating and evaluating claims for proper settlement, and assigning independent adjusters and appraisers when necessary. The Claims Representative will also pursue subrogation, salvage, and third-party liability contribution, notify management of claims exceeding settlement authority, establish proper reserves, and report claim complaints, questionable submissions, and potential fraud. Additionally, the role requires attending claim seminars, participating in claim associations, and performing other assigned duties.

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

Adjusting and settling claims for all lines of business with settlement authority up to $7,500.
Handling claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
Verifying policy coverage on assigned claims.
Investigating and evaluating assigned claims for proper settlement.
Assigning independent adjusters and appraisers when necessary.
Pursuing subrogation, salvage, and third-party liability contribution.
Notifying Claims Supervisor or Manager of all claims that exceed settlement authority of $7,500.
Establishing proper reserves on assigned claims.
Reporting claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager.
Attending claim seminars and participating in claim associations.
Performing other duties as assigned.