Senior Claims Representative

Michigan MillersLansing, MI
36dHybrid

About The Position

Michigan Millers Mutual Insurance Company, an affiliate of Western National Mutual Insurance, is seeking a Senior Claims Representative to join our team! The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve commercial-line insurance claims as assigned. The individual in this role will be expected to work in a hybrid capacity; however, fully remote options may be considered for the right candidate.

Requirements

  • Strong understanding of industry practices, standards, and claims concepts.
  • Prior claims experience.
  • Ability to multitask and solve problems.
  • Proficient oral and written communication skills.
  • Bachelor's degree or equivalent experience in lieu of degree acceptable.

Nice To Haves

  • Strong negotiation and relationship-building skills.
  • Analytical with ability to exercise sound business judgment.
  • Good time management.
  • Customer Service-oriented.
  • Proficient use of various core systems, office and computer equipment, and software packages.
  • Knowledge or previous experience handling New York labor law claims.
  • CPCU certification preferred.

Responsibilities

  • Handles moderate to high complexity claims within settlement authority.
  • Ensures customer service excellence.
  • Investigates and reviews policy forms, facts, and documents related to claims to make appropriate decisions on claim resolution, recognizing claim file exposures, and escalates appropriately.
  • Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience.
  • Maintains appropriate reports, ensuring the status of claims is clearly documented.
  • Provides direction to outside resources.
  • Acts as a resource to other members of the team.
  • Makes well-reasoned recommendations to management on claim plan of action.
  • Recognizes problems or situations that are new or without clear precedent and makes recommendations to solve problems.
  • Finds solutions using a systematic, multistep approach.
  • Primarily responsible for developing improvements and innovations to enhance performance.
  • Regular contact with customers (policyholders, claimants, agents) as well as regular contact with employees across the organization.
  • Regular contact with outside vendors.
  • Travel for field work as required (e.g., scene investigations and inspecting property losses).
  • Performs special projects and other duties as assigned.

Benefits

  • Medical insurance options and other standard employee benefits, including dental insurance, vision benefits, life insurance, and more!
  • Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
  • 401(k) Plan (plus company match)
  • Time Off - including vacation, volunteer, and holiday pay
  • Paid Parental Leave
  • Bonus opportunities
  • Tuition assistance
  • Wellness Program - including an onsite fitness studio
  • Michigan Millers and Western National Insurance believe in supporting the balance between work and life by providing a flexible work environment, which includes a variety of hybrid work arrangements designed to balance individual, job, department, and company needs.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Insurance Carriers and Related Activities

Number of Employees

101-250 employees

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