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    Insurance Claims Specialist - Pittsburgh, United States - First National Bank of Pennsylvania

    First National Bank of Pennsylvania
    First National Bank of Pennsylvania Pittsburgh, United States

    3 weeks ago

    Default job background
    Description

    Primary Office Location:

    One North Shore Center. Pittsburgh, Pennsylvania

    Join our team. Make a difference - for us and for your future.

    Position Title: Claims Specialist

    Business Unit: INSA

    Reports to: Manager of Claims

    Position Overview:

    This position works directly with our clients as well as our Property & Casualty Sales Executives in relation to claims. This position possesses a high degree of technical knowledge when it comes to coverage reviews on Property & Casualty claims as well as understanding the coverages to ensure the claims are filed under the correct policy. Extensive knowledge of the claims process and coverages are important when claims consulting and claims advocacy is needed with our customers. This position requires a small amount of travel to meet with customers. Minimal supervision is required.

    Primary Responsibilities:

    Commercial Claims Reporting-Responsible for the reporting of incoming claims and lawsuits to the insurance carrier

    Workers Compensation Mod Reviews- Will work with the Mod Analysis Application in order to do projections for our customers WC Mods. Loss Data information is reviewed and input as well as updated payroll information.

    Claims Advocacy/Review of Coverages-Provides Claims Counseling and pre-claims counseling as needed to our customers. Review of coverages prior to putting in a claim as well as for reviewing denials to make sure there is not coverage on the claim. Working as a liaison between the customer and the adjuster through more difficult claims.

    Follow Up on Existing Claims to monitor progress, payments and timely handling.

    In person meeting with customers for Claims Reviews as well as review up claim trends that may have an impact on the customers policy.

    Performs other related duties and projects as assigned.

    All employees have the responsibility and the accountability to serve as risk managers for their businesses by understanding, reporting, responding to, managing and monitoring the risk they encounter daily as required by F.N.B. Corporation's risk management program.

    F.N.B. Corporation is committed to achieving superior levels of compliance by adhering to regulatory laws and guidelines. Compliance with regulatory laws and company procedures is a required component of all position descriptions.

    Minimum Level of Education Required to Perform the Primary Responsibilities of this Position:

    BA or BS

    Minimum # of Years of Job Related Experience Required to Perform the Primary Responsibilities of this Position:

    5

    Skills Required to Perform the Primary Responsibilities of this Position:

    N/A

    Excellent customer service skills

    Excellent organizational, analytical and interpersonal skills

    Ability to use a personal computer and job-related software

    Excellent management skills

    Excellent project management skills

    MS Word - Basic Level

    MS Excel - Basic Level

    Prior Claims Handling Experience. Negotiation skills

    Strong conflict resolutions skills

    Licensures/Certifications Required to Perform the Primary Responsibilities of this Position:

    Property & Casualty License as well as working toward Insurance Designation such as AIC or CPCU

    Physical Requirements or Work Conditions Beyond Traditional Office Work:

    N/A

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