Senior Claims Representative

Penn National Insurance•Harrisburg, PA

6d•$75,000 - $103,000•Hybrid

About The Position

The Senior Claims Representative investigates, evaluates, and disposes of assigned claims in a timely manner, pursuing best-practices settlements within applicable statutes, policy provisions, and company or client guidelines. The role handles claims that may involve complex coverage and liability issues and may require attendance at civil proceedings or workers’ compensation hearings. Candidates must reside in an approved hiring state and be able to report to the Harrisburg, Pennsylvania; Pittsburgh, Pennsylvania; or Waukesha, Wisconsin office on a hybrid basis. The representative develops claims files from initial assignment through disposition, documents actions accurately, verifies coverage, establishes or adjusts reserves, makes appropriate contacts, and pursues subrogation, contribution, and salvage opportunities when available. The position collaborates with the Team Leader, Manager, and Home Office on case strategy and claim resolution. It may also include participation in, or supervision of, a Claims Catastrophe Team. The position requires at least five years of property/casualty claims-handling experience, a strong understanding of applicable laws, claims terminology, and insurance coverages, as well as communication, negotiation, analysis, decision-making, customer service, organization, and computer skills. An adjuster’s license is required or must be obtained as required. The role is primarily sedentary, involves office and computer work, and requires a valid driver’s license, operation of a motor vehicle, and travel with overnight stays. The estimated hiring range is $75,000–$103,000. Eligible employees may participate in an annual incentive program. The company describes a total rewards package that includes a 401(k) match, graded profit sharing, incentive compensation, benefits, flexible scheduling, remote and hybrid options, recognition programs, continuing education support, tuition reimbursement, and professional development opportunities.

Requirements

Minimum of 5 years of experience in a property/casualty claims-handling position.
Adjuster’s license or willingness to obtain one as required.
Good understanding of tort and state laws applicable to assigned claims, the Unfair Claims Settlement Act, and insurance policy coverages and provisions.
Good understanding of terminology applicable to assigned claims, including medical, legal, automotive, and construction terminology.
Good oral and written communication skills.
Good interpersonal, negotiation, customer service, analysis, evaluation, decision-making, planning, and organization skills.
Strong sense of urgency.
Good PC skills, with an emphasis on Microsoft Office products.
Ability to work independently and as a member of a team.
Valid driver’s license and ability to operate a motor vehicle.
Ability to travel, including overnight stays.
Ability to maintain acceptable attendance and adhere to scheduled work hours.
Ability to see and effectively use a computer monitor; operate a computer, keyboard, printers, and other general office equipment; and accurately access and enter information using automated systems.
Ability to hear and communicate by telephone or monitoring devices with internal and external clients.
Ability to present information to individuals and groups and interpret and apply concepts that may or may not be based on established guidelines.
Ability to reside in an approved hiring state and report to the Harrisburg, PA; Pittsburgh, PA; or Waukesha, WI office on a hybrid basis.

Nice To Haves

Continuing education in insurance-related courses, such as IIA Certificate in General Insurance, Senior Claims Law Associate, Associate in Claims, or Workers’ Compensation courses (PA 10, 11, 12, and 13).
Associate’s degree in Claims and/or Senior Claims Law Associate designations.

Responsibilities

Investigate, evaluate, and dispose of assigned claims in a timely manner and achieve best-practices settlements within applicable legal statutes, policy provisions, and company or client guidelines.
Initiate self-development and training to improve, maintain, or acquire claims-handling skills.
Identify and pursue subrogation, contribution, and salvage opportunities when available to reduce or recover payments.
Communicate appropriately, tactfully, and completely to support negotiations, build rapport, and project a positive corporate and personal image.
Handle claims involving more complex coverage and liability issues; attend civil proceedings or workers’ compensation hearings when required.
Develop claims files from initial assignment through disposition.
Prepare accurate and complete claim-file documentation to justify actions and provide an effective audit trail.
Complete timely actions, including verifying coverage, setting or adjusting reserves, and making appropriate contacts.
Collaborate with the Team Leader, Manager, and Home Office to develop case strategy, advance investigations, and dispose of claims.
Participate as a member of a Claims Catastrophe Team when needed.
Act as a supervisor of a Claims Catastrophe Team when needed.
Perform other duties assigned by the listed reporting managers.

Benefits

Generous 401(k) match.
Graded profit sharing.
Incentive compensation and possible participation in an annual incentive program, subject to plan eligibility.
A wide range of benefits supporting financial health, physical well-being, and career development.
Remote and hybrid work options.
Flexible scheduling.
Employee recognition programs.
Continuing education support.
100% tuition reimbursement for academic studies.
Professional development and designation programs, including CPCU, AINS, CPA, and CISSP.