Claims Representative III
Goodville Mutual Casualty Co Goodville Mutual Casualty Co New Holland, PA New Holland, PA Full-time Full-time Nature of Job Adjust and settle claims for all lines of business written by the company with settlement authority up to $30,000.
Duties and Responsibilities 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 and 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 Claims Supervisor or Manager.
Attend claim seminars and participate in claim associations.
Perform other duties as assigned by the Claims Manager or Supervisor.
Qualifications High school education.
Three to five years' Property and Casualty claims experience.
AIC (Associate in Claims) designation.
Knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved.
Ability to learn the coverages of all insurance policies written by the company.
Effective communication and negotiation skills.
Ability to work effectively with company computer systems.
Involvement in insurance related seminars and continuing education.
Commitment to company values and customer service.
Ability to perform the essential functions of the job with or without reasonable accommodation.
PI231151877.
Estimated Salary: $20 to $28 per hour based on qualifications.
Duties and Responsibilities 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 and 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 Claims Supervisor or Manager.
Attend claim seminars and participate in claim associations.
Perform other duties as assigned by the Claims Manager or Supervisor.
Qualifications High school education.
Three to five years' Property and Casualty claims experience.
AIC (Associate in Claims) designation.
Knowledge of Property and Casualty insurance coverages, terms and laws governing the jurisdictions in which the company is involved.
Ability to learn the coverages of all insurance policies written by the company.
Effective communication and negotiation skills.
Ability to work effectively with company computer systems.
Involvement in insurance related seminars and continuing education.
Commitment to company values and customer service.
Ability to perform the essential functions of the job with or without reasonable accommodation.
PI231151877.
Estimated Salary: $20 to $28 per hour based on qualifications.
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