Y-Axis Jobs Logo
Send us feedback
telephone  +91 7670 800 001
Log in Sign up Try Premium
Claims Representative I at Goodville Mutual Casualty Company
Earl Township, Pennsylvania, United States -
Full Time

Start Date

Immediate

Expiry Date

01 Sep, 26

Salary

0.0

Posted On

03 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Adjusting, Policy Coverage Verification, Investigation, Subrogation, Salvage, Third-party Liability, Reserving, Fraud Detection, Customer Service, Communication Skills, Computer Proficiency

Industry

Insurance

Description
Description Summary: This position is responsible for adjusting and settling claims for all lines of business written by the company with settlement authority up to $7,500. Functions: Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act. Verify policy coverage on assigned claims. Investigate and evaluate assigned claims for proper settlement. Assign independent adjusters and appraisers when necessary. Pursue subrogation, salvage, and third-party liability contribution. Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $7,500. Establish proper reserves on assigned claims. Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager. Attend claim seminars and participate in claim associations. Perform other duties as assigned by Claims Manager and Supervisor. Requirements High school education required. Minimum of one year of work experience in a customer service role preferred. Ability to learn the coverages of all insurance policies written by the company required. Effective communication skills required. Ability to work effectively with company computer systems required. Willingness to participate in insurance related study courses preferred. Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota) and travel to vendor work sites required. Ability to work in an office environment with moderate noise level, remain in a stationary position and operate a computer a majority of the time required. Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required. Ability to perform the essential functions of the job with or without reasonable accommodation required.
Responsibilities
Responsible for adjusting and settling insurance claims across all business lines with authority up to $7,500. Duties include verifying coverage, investigating claims, pursuing subrogation, and reporting potential fraud to management.