Senior Claims Representative II at Goodville Mutual Casualty Company

Earl Township, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Sep, 26

Salary

0.0

Posted On

16 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Adjusting, Policy Coverage Verification, Claim Investigation, Negotiation, Subrogation, Salvage, Litigation Management, Reserve Establishment, Xactimate, Property and Casualty Insurance, Communication, Fraud Detection

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 $60,000. Functions: Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act. Verify policy coverage on assigned losses. Investigate and evaluate claims for proper settlement. Negotiate with claimants, insureds, and attorneys when necessary. Assign independent adjusters, appraisers, and staff Field Claims Representative when necessary. Pursue subrogation, salvage, and third-party liability contribution. Communicate with Claims Supervisor or Manager regarding complex claims when assistance is necessary. Manage claims that go to litigation with limited management involvement. Notify Claims Supervisor or Manager of all claims that exceed settlement authority of $60,000. Establish and maintain proper and adequate reserves on assigned claims. Report claim complaints, questionable claim submissions and possible fraud to Claims Supervisor or Manager. Assist Claims Supervisor and Manager in training and instructing Claims Representatives. Attend claims seminars and insurance related meetings; participate in claims associations. Perform other duties as assigned by Claims Manager and Supervisor. Requirements College education preferred. Eight to ten years’ Property and Casualty claims experience required. Professional Property and Casualty claims designations preferred. Thorough knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved required. Ability to learn the coverages of all insurance policies written by the company required. Proficiency and knowledge of Xactimate estimating platform required, if handling property claims. Effective communication and negotiation skills required. Ability to work effectively with company computer systems required. Involvement in insurance related seminars and continuing education required. 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 Property and Casualty claims across all business lines with settlement authority up to $60,000. Duties include investigating losses, negotiating with claimants and attorneys, and managing claims through litigation.