- Review new claims assignment to determine the nature and severity of the claim and intended action required.
- Manage and execute all claim functions such as maintaining proper claims documentation within claims management system, reserving, claim payments, expense factors, and file notes.
- Make prompt, meaningful contact with insureds or claimants.
- Maintain proper communication channels with internal and external customers as defined by claims best practices.
- Conduct a timely and thorough investigation to identify risks/exposures which may include: conducting interviews, procuring recorded statements, relevant documents and identify others possessing facts or involvement with the claim – to determine extent and severity of potential loss.
- Evaluate, manage and/or recommend claim file reserves.
- Review and interpret policy to determine coverage.
- Determine and communicate liability decision with all relevant parties.
- Inform underwriting if increased hazards or unusual circumstances concerning a risk/policy exposure.
- Disposition of claims througheffectivelynegotiating and settling and/or denial.
- Actively identify subrogation potential and posture claim for successful subrogation.
- Recognize and promptly address litigation potential, work cohesively with defense counsel, and attend mediation and settlement conferences as needed.
- Participate in continuing educational programs to develop and maintain knowledge of products, procedures, and industry trends.
- Process first and third party claims with clear liability and no injury.
- Investigate and processnon-complexclaims.
- Handlenon-attorney representedclaims.
- High school diploma
- 2 or 4 yeardegree preferred
- None required
- Within 2 years of hire,must begin working towardAIC and otherdesignations deemed appropriate by supervisor
- Meet the appropriate state licensing laws required to handle "multi line" claims.
- 1+yearsofgeneralwork experience
- Claims best practices
- Familiar with policies
- Aware of unfair claims practices
- Knowledge of venue and regulations
- Basic legal terminology
- Knowledge of available resources
- Customer focused
- Communication
- Time management/Multi-tasking
- Embrace Change & Ambiguity
- Social Awareness
- Problem-solving
- Analytical Thinking
- Negotiation
- Optimize work processes
- Decision quality
- Working out of home or office (general office conditions), and/or occasional field assignments as agreed with Regional Claims Manager and Supervisor
- Some exposure to high stress/fast paced environment
- Travel might be required onoccasion
- Lifting/carrying up to 50lbs might be required on occasion
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Claims Rep-Inside - Cedar Rapids, United States - United Fire & Casualty
Description
UFG is currently hiring for aClaims Representative who will investigate, through correspondence or telephone, assigned property or liability claims. Occasionally will make an on-scene inspection to take photos etc., if necessary. Examine policy forms to verify coverage, interview claimants or witnesses, obtain police or hospital reports, appraisals and all other information pertinent to the claim, analyze, evaluate, negotiate and settle claims.
Responsibilities:
Education: