Claims Representative II at Goodville Mutual Casualty Company

Napoleon, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

12 May, 26

Salary

0.0

Posted On

11 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Adjustment, Settlement Authority, Policy Coverage Verification, Claim Investigation, Claim Evaluation, Negotiation, Subrogation, Salvage, Third-Party Liability, Reserve Establishment, Fraud Reporting, Communication Skills, Computer Systems Proficiency, Travel

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 $20,000. 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 claims; negotiate for proper settlement. Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary. Pursue subrogation, salvage, and third-party liability contribution. Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $20,000. Establish proper reserves on assigned claims. Report claim complaints, questionable claim submissions and possible fraud to Casualty Claims and SIU Supervisor or Manager. Attend claim seminars and participate in claim associations. Perform other duties as assigned by Casualty Claims and SIU Supervisor and Supervisor. Requirements High School education required. One to two years’ Property and Casualty claims experience required. Knowledge of Property and Casualty insurance coverages and terms preferred. Ability to learn the coverages of all insurance policies written by the company required. Effective communication and negotiation skills required. Ability to work effectively with company computer systems required. Willingness to participate in insurance related study courses with specific goal of attaining AIC designation 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

This role involves adjusting and settling claims across all lines of business, up to a settlement authority of $20,000, while ensuring compliance with company guidelines and the Unfair Claims Practices Act. Key duties include investigating claims, negotiating settlements, assigning external adjusters when needed, and pursuing subrogation and salvage opportunities.