Job description
Claims Representative
Job Summary
Seeking a dedicated and detail-oriented Claims Representative to join a team. In this role, you will assist commercial clients and third parties in collecting information, reporting, and settling claims. You will act as a liaison between clients and carriers, ensuring claims are processed efficiently and effectively. This position requires strong communication skills, technical expertise in commercial insurance, and the ability to manage multiple tasks in a fast-paced environment.
Responsibilities
- Investigate claims to determine coverage, loss, and liability.
- Interact with customers, insurance agents, police, attorneys, and other personnel involved in the claims process.
- Oversee legal and medical aspects of claims.
- Document claim activities accurately and in a timely manner.
- Resolve claim issues promptly and follow up on outstanding matters.
- Communicate claim status to supervisors and customers regularly.
- Collaborate with outside agents for claim investigations when necessary.
- Contact carriers to expedite claim settlements and provide updates.
- Notify management and agency staff of significant claims or reserves pending for clients.
- Maintain and record loss history, including payments and claim closures, in the agency management system.
- Assist clients and claim adjusters with scheduling appointments to review losses.
- Build strong working relationships with carriers’ claims representatives and managers.
- Document all client and carrier communications in the agency management system.
- Perform other duties as assigned by the supervisor.
Qualifications/Requirements
Minimum Skills and Competencies:
- Strong teamwork, motivation, and positive attitude.
- Excellent verbal and written communication skills.
- Outstanding customer service and effective listening skills.
- Strong organizational and prioritization abilities.
- Ability to handle work demands and meet agency growth and retention goals.
- Highly effective interpersonal skills with clients, carriers, management, and co-workers.
- Ability to work independently and complete assignments with minimal supervision.
- Excellent time management and attention to detail.
- Professional demeanor and positive attitude.
Education and Experience:
- Thorough technical understanding of commercial insurance coverages and claim procedures.
- Valid Property & Casualty (P&C) license for commercial lines of insurance.
- Minimum of 2-3 years of experience as a commercial claims representative or in commercial lines at an insurance agency or carrier.
- Experience in the following areas is required:
- Workers’ Compensation
- Auto
- General Liability
- Property
- Management Liability
Technology Skills:
- Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook).
- Experience with Agency Management Software; AMS360 experience is preferred.
Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
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