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Hybrid Claims Processor at Goodville Mutual Casualty Company

Goodville Mutual Casualty Company · New Holland, United States Of America · Hybrid

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Description

Summary:

This position is responsible for processing Super Service claims according to company guidelines with settlement authority up to $3,500, as well as providing claims customer service to agents, policyholders, and claimants.


Functions:

  • Process first party auto claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
  • Receive incoming loss reports, verify policy coverages, and document for review by CSR and Subro Claims Supervisor.
  • Verify policy coverage of assigned losses.
  • Investigate and evaluate assigned Super Service claims for proper settlement.
  • Assign independent adjusters and appraisers when necessary.
  • Pursue subrogation, salvage, and third-party liability contribution.
  • Notify CSR and Subro Claims Supervisor of all claims that exceed settlement authority of $3,500.
  • Establish proper reserves on assigned claims.
  • Issue payments to vendors with prior management/Claims Representative approval.
  • Assist CSRs with end of day, month-end, and quarterly reports.
  • Report claim complaints, questionable claim submissions and possible fraud to CSR and Subro Claims Supervisor.
  • Perform other duties as assigned by CSR and Subro Claims Supervisor.


Requirements

  • High school or equivalent education required.
  • Ability to learn basic knowledge of insurance coverages written by the company required.
  • Effective communication skills required.
  • Ability to understand basic insurance terms and law required.
  • Ability to learn through on-the-job training 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.


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