P&C Claims Representative

The Misch GroupLos Angeles, CA
Onsite

About The Position

The primary objective of this role is to provide high-level customer service by assisting agency clients in the reporting and processing of property and casualty insurance claims.

Requirements

  • Must possess and maintain an active Property and Casualty insurance license as required by the Department of Insurance.
  • A one-year college/technical certificate, 3–6 months of related industry experience, or an equivalent combination of both.
  • Proficiency in Microsoft Office (Word, Outlook) and strong general computer skills.
  • Ability to interpret insurance policies and procedure manuals; must be capable of composing professional email and correspondence.
  • Ability to apply common sense to detailed instructions and resolve problems involving standardized situations.

Responsibilities

  • Receive all incoming claims-related phone calls and identify the appropriate carriers and adjusters.
  • Determine the applicable coverage, complete necessary Acord forms, and notify the designated Agent via email and the AMS activity file.
  • Adhere strictly to the requirement to never imply or deny coverage or a claim.
  • Act as a coordinator between the carrier and the client; provide customers with claim numbers and adjuster contact details within 48 hours of receipt.
  • Maintain real-time updates in the AMS computer system, including scanning and logging all activity.
  • Conduct a satisfaction assessment with the customer within 15 days of the initial report.
  • Assist Account Managers and Agents with specific claim inquiries and maintain a suspense system for all pending items.
  • Process bills for glass damage and towing directly to the carrier.
  • Identify and notify Account Managers of "Total Loss" vehicles for deletion or unlisted drivers involved in accidents.
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