- Settles large and significantly complex claims by determining insurance carrier's liability; reaching agreement with claimant according to policy provisions and authority level; handling mediations, arbitrations, and subrogation within authority level.
- Determines coverage by meeting with insureds; securing evidence; inspecting losses; investigating incidents; interpreting policy coverages; explaining coverages; and determining subrogation.
- Maintains expertise in a specified line(s) of business through attending training courses and participating in continued education coursework/classes.
- May direct defense attorney's activity on litigated files; develops joint plan; reviews billing of attorney; attends mediations and trials as necessary.
- Provides departmental support by mentoring and training new/current claims representatives as necessary.
- Completes claims by obtaining, providing, and exchanging information and agreements with attorneys, health care providers and other third parties.
- Prepares reports by collecting, analyzing, and summarizing claim information.
- Resolves questionable claims through investigations, comparing claims information with evidence.
- Provides claims information by documenting claims transactions of assigned files in compliance with company and state requirements; preparing loss development reports.
- Assists home office adjusters on claims in coverage territories.
- Ensures company guidelines and procedures are followed by overseeing independent adjusters during investigations; overseeing attorneys in the handling of discovery and settlement.
- You enjoy communicating and building relationships with others.
- You are composed, cool under pressure, and can negotiate without damaging relationships.
- You hold yourself accountable and act in accordance with rules and regulations.
- You enjoy analyzing, investigating, and using the facts to make decisions.
- You are naturally curious and have a desire to know more.
- Bachelor's Degree and 8+ years of experience handling complex bodily injury claims OR 10+ years of experience handling complex bodily injury claims.
- Proficiency in liability/casualty claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
- Ability to obtain and maintain proper licensing prior to handling a state that requires it.
- Valid driver's license and a satisfactory driving record.
- Professional insurance designations highly desirable.
- Knowledge of medical terminology highly desirable.
- Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance
- Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan
- Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options
- Education: Career Coaching; company-paid courses; student loan and tuition reimbursement
- Community: Charitable Match; paid volunteer time; team sponsorships
- Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more
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Senior Field Claims Representative - The Loop, IL, United States - Society Insurance Company
Description
Job Information
Job Title
Senior Field Claims Representative – (Bodily Injury focused)
Home Department:
Property, Auto, & Liability Claims
Employment Status:
Exempt; Full-time
Schedule:
40 hours/week with Flexible Scheduling Opportunities
Territory
Northern Illinois
Overview
Protecting our policyholders' dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.
Society Insurance is seeking a Senior Field Claims Representative (Bodily Injury Focused) to join our Property, Auto, and Liability (PAL) Claims team. This position will independently resolve large and complex bodily injury claims by performing field investigations; determining and documenting loss; and negotiating out-of-court settlements.
About the Role
About You
What it Will Take
What Society Can Offer
Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws.
Society Insurance is a drug-free workplace. Any candidate who receives an offer of employment from Society will be required to undergo a pre-employment drug test for controlled substances. All offers of employment are contingent upon successful completion of the pre-employment drug test, which is conducted in accordance with Society's substance abuse policy.
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