Multi-Line Property and Casualty Claims Representative

SET SEG•East Lansing, MI

13d•Hybrid

About The Position

SET SEG is looking for a Multi-Line Property & Casualty Claims Representative who will be responsible for the investigation, negotiation, adjustment, and resolution of designated PC claims. This position reports to the Claims Manager. The Multi-Line Property and Casualty Claims Representative is responsible for the prompt, fair, and efficient handling of a diverse caseload of Property and Casualty claims across multiple lines including general liability, auto liability, auto physical damage, personal injury protection (PIP), property, medical payments and select specialty coverages. This role serves as a primary point of contact for members and plays a key role in delivering high-quality customer service through timely communication, sound judgment, and consistent adherence to organizational standards. The ideal candidate has strong technical claim knowledge, excellent communication skills and experience working with public entities and third-party vendors. This position requires independent judgment, strong documentation practices, and a customer-focused approach with the ability to balance efficiency with accuracy and compliance with applicable laws, regulations, and internal claims handling guidelines.

Requirements

Bachelor’s Degree; minimum of two years of claims experience handling multi-line claims or an equivalent combination of education and experience.
Must have knowledge of coverage, liability, and complex claims handling procedures.
Ability to handle complex case-related tasks in a fast-paced and changing environment.
Excellent interpersonal skills and the ability to work in a strong team environment.
Excellent verbal and written communication skills, with the ability to deliver clear, professional, and customer-focused communication.
Must have strong organizational and time-management skills, including the ability to prioritize, multitask, meet deadlines, and independently follow up on open items.
Must be dependable, reliable, and able to achieve high levels of professionalism when handling cases and interacting with school district representatives and their employees, attorneys, families of injured and fellow employees.
Must be able to create and maintain high levels of confidentiality when dealing with proprietary information and sensitive situations.
Must have strong cognitive and analytical skills.
Ability to travel and work remotely on a periodic basis.
Proficiency in Microsoft Office applications, including Excel and Word, with the ability to use technology effectively to document, track and communicate claim activity.
Commitment to continuous learning including willingness to participate in ongoing education with industry recognized training (IIA, AIC or INS or other relevant claims designations)

Nice To Haves

Experience working with public entities and third-party vendors.

Responsibilities

Investigate, evaluate, negotiate, and resolve assigned claims in compliance with applicable laws, regulations, and internal claims handling standards, with an emphasis on quality and consistency.
Provide high-quality customer service in a fast-paced environment while serving as a primary contact for members.
Maintain accurate, timely and well-organized documentation within the claims management system while managing multiple active claims concurrently.
Deliver clear, accurate, and customer-friendly coverage explanations and written correspondence to help our members understand claim decisions and next steps.
Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.
Assign, coordinate, and monitor work performed by outside investigators, third-party vendors, law firms, and individual attorneys when assigned.
Provides oversight of medical, legal damage estimates, and miscellaneous invoices to determine if they are reasonable and related to designated claims.
Negotiates any disputed bills or invoices for resolution.
Assigns litigated claims to approved law firms and/or individual attorneys and monitors progress.
Attends facilitations/mediations as assigned.
Manages diary system to move losses to conclusion in a timely manner.
Collaborate closely with internal teams, including risk management, underwriting, and claims leadership to support effective claim outcomes.
Other duties as assigned by the Claims Manager.