Inside Claims Representative I

Job Description: Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws.Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records.Obtains additional information as required to determine liability.Documents claim files and facilitates processing of claims in collaboration with other departments.Assigns outside experts when necessary to assist in investigation and in support of potential recovery.Establishes contact with all parties involved in the claim.Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action.Sets up and/or issues payment using approved payment methods for settlement; or declines payment within designated authority.Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others.Learns and maintains knowledge of liability laws and motor vehicle codes for each state.Requirements: High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.Bachelor's or Associate's degree preferred.Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.Obtain appropriate licenses as required by state within 45 days of employment for external applicants and 90 days for internal applicants.Benefits: Premier health, prescription, dental, and vision benefits for you and your dependents.Low contributions to medical and prescription premiums.Pension plan.401(k) with up to 4% contribution match.Paid time off including vacation, personal days, sick days, bereavement days and parental leave.Career development opportunities including tuition reimbursement program.Company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; dollar-for-dollar matching of charitable gifts each year.