CLAIMS REPRESENTATIVE II

The Claims Representative II investigates, evaluates and resolves assigned claims in a timely and accurate manner in order to achieve a best practices type settlement within legal statutes, policy provisions and Company standards of performance or client standards.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES OF THE CLAIMS REPRESENTATIVE II

 

Prepares claim file documentation accurately and completely, to include: All relevant oral and written statements, photos, facts and environmental factors present at the scene of the accident.

 

Performs basic and intermediate claims handling duties on assigned claims in a timely manner, to include: Verifying coverage and policy provisions in order to identify the claim’s insurability or compensability; Analyzes and resolves coverage and liability issues or questions; Gathers and evaluates factual information that enhances identification of underlying problems or opportunities pertaining to assigned claims; Generating alternative solutions to problems or situations involving assigned claims; Setting or adjusting reserves in accordance with the degree of liability and value of the claim; Making appropriate contacts and negotiating with policyholders, claimants, third parties, medical and legal professionals in the processes of arbitration, litigation, subrogation, contribution and salvage; Takes responsibility for handling and resolving policyholder/claimant problems or requests.

 

Achieves a best practices type settlement in the disposition of assigned claims, to include: Assessing all costs and determining first and third party liabilities associated with the settlement of auto property damage, non-complex workers’ compensation, property losses and simple bodily injury claims.

 

Effectively identifies and pursues subrogation and salvage opportunities, when available.

 

At the direction of the Team Leader, may perform limited field work, limited claim handling on workers’ compensation lost time claims of low exposure/low complexity, as well as low exposure/low complexity bodily injury liability claims.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Why Penn National Insurance

A career with Penn National Insurance offers a total rewards package that makes us a regional employer of choice.  When you are part of the Penn National Insurance family, we want you to feel secure in:

     Your Career: We offer a comprehensive benefit and compensation package including a generous 401k match, graded profit sharing, recognition programs, and incentive compensation.  Additionally, Penn National Insurance company policy provides for remote access, flex-scheduling, and a dress-for-your-day dress code. 

      Your Employer: Penn National Insurance celebrated its 100^th anniversary in 2019.  With the $1 billion direct written premium threshold in sight, the company is utilizing innovation solutions and analytic insights to grow its share of the small commercial and middle market business, as well as personal lines.  Our proud tradition of adhering to a relationship-driven business model, and our ability to adapt to changes over time reinforce our reliability and strength.

     Your Community: The Company and our employees donate more than $500,000 annually to fund enrichment programing throughout the communities we serve.  Our United Way campaign raised an additional $350,000 last year.  We are also taking real steps to decrease our environmental impact.  We have added bicycle accommodations, enhanced energy efficiency, introduced water conservation measures, and implemented cool-roof technology.

      Your Future: We create a rewarding career path and enable long-term retention by offering enhanced benefits around continuing education and professional development.  The average employee tenure at Penn National Insurance is 14 years!

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QUALIFICATIONS FOR THE CLAIMS REPRESENTATIVE II

 

Education/Credentials:

 

4-year degree, or significant relevant experience in a property/casualty claims oriented position.

 

Experience:

Successful completion of Claims Representative II Trainee curriculum; or

 

Minimum of 1-years’ experience in a property/casualty claims handling position.

This position handles 1st and 3rd party non-injury auto losses.

 

Effective communication skills, both oral and written.

 

Effective inter-personal skills.

 

Effective organization skills, with the ability to work independently.

 

Must be detail oriented, as assigned work requires significant attention to detail.

 

Personal Computer skills, with an emphasis on Microsoft products.

 

Ability to work within a team-oriented, fast-paced, customer-focused environment.

 

Basic understanding of tort and state laws applicable to assigned claims.

 

Basic understanding of the Unfair Claims Settlement Practices Act, insurance policy coverages and provisions, and medical, legal, automotive and construction terminology.

 

JOB REQUIREMENTS (as required by ADA)

 

Must be able to operate a computer, keyboard and applicable printers and other general office equipment.

 

Must be able to adequately hear to answer the telephone, and communicate via the telephone.

 

Must have the ability to perceive and distinguish emotions during interactions with people, in person and via the telephone.

 

This position is primarily a sedentary position that requires occasional standing and walking throughout the office environment.

 

Must be dependable and able to adhere to scheduled work hours.