- Handles claims from the desk that involve liability losses for medical payment and PIP claims
- Responsible for ensuring Medicare requirements have been met
- Establishes contact with policyholders and claimants regarding casualty claims
- Investigates and evaluates first party medical payment coverage claims
- Reviews attorney medical payment demand packages in the assessment of their injury claims
- Handles telephone inquiries on claim status and coverage
- Completes appropriate oral, written, and on-line reports to reflect and supplement all file activity
- Sets and maintains adequate reserves on claim files
- Obtains and reviews reports, statements, records, and related materials as necessary
- Uses independent discretion/judgment and sound decision-making in the handling of claims
- Performs other duties as assigned
- Typically requires 1-3 years of industry experience
- Bachelor's degree
- Prior bodily injury casualty claims handling experience
- Industry accepted Claims designations preferred
- listen, define, write, explain, and interpret ideas and policies
- handle difficult and stressful situations with professional composure
- analyze, organize, and prioritize work while meeting multiple deadlines
- work evenings, nights, and/or weekends as necessary
- work as a team member and follow directions
- process and handle confidential information with discretion
- define problems, collect data, establish facts, and draw valid conclusions
- completing assignments accurately and with attention-to-detail
- liability coverages, laws, and injuries
- technology and software relating to insurance claims and adjusting
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Casualty Representative- Remote - Pekin, United States - Pekin Insurance
Description
You spend at least a third of your day at your job. You might as well spend it doing something you really love while working with a team you really enjoy being with, right? That's the kind of atmosphere we offer at Pekin Insurance-fun, fast-paced, gratifying, supportive, and collaborative.
Of course, it's not all fun and games. Insurance is a serious business, and we pride ourselves on making people's lives whole again after a major disaster or even a fender bender. It's that sense of helping people that makes our team want to do our best every day.
If you want to be excited about starting your workday and are ready to make a real difference in people's lives, this could be the right spot for you.
See what Pekin Insurance has to offer by viewing a short video here.
POSITION OVERVIEW
The Casualty Specialist investigates, adjusts, and settles medical payment and PIP claims. This position determines coverage and damages; and exercises independent discretion and judgment on claim handling.
ESSENTIAL JOB FUNCTIONS
Required
Demonstrated ability to:
