Claim Rep Sr, SIU

Job Summary

*Position can be Fully Remote or Hybrid**

Position can be at a higher level based on experience

This is a multi-line position handling predominantly Casualty and some Physical Damage claims. May required handling claims for multiple states. The individual will need to possess or be able to obtain the appropriate state adjuster licenses required by state statute. Responsible for investigating and adjusting questionable No-Fault, Med Pay, Bodily Injury and Un/Underinsured motorists claims with some exposure to litigation management. Must communicate effectively, timely and professionally through oral and written means including communications with insureds, claimants, attorneys and Attorney General's Office inquires. Drafts responses to consumer complaints and Division of Insurance inquiries. This position requires the individual to also direct external investigations being handled by field personnel. Must interpret policies, coverage and endorsements, apply technical knowledge to assigned losses and prioritize multiple tasks. Responsible for conducting recorded interviews as specified by company standards. Strong telephone customer service skills and the ability to empathize with claimants and customers are needed. Individuals should possess a high level of initiative and demonstrate the ability to work both independently and in a team with high productivity expectations in a fast paced environment. Strong business and decision making skills, as well as the ability to maintain a high degree of confidentiality are required. There is some exposure to litigation management.

Knowledge, Skills and Abilities

Education: Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience.
Experience: 2 - 4 years - or Associates Degree equivalent plus 4 - 6 years.
Knowledge: General knowledge of industry practices, standards, and concepts within field of work. Applies them to perform work requiring analytical business skills.
Decision Making: Makes decisions related to a wide variety of situations within management limits. Interprets guidelines and procedures, applying judgment and discretion. Decisions influence portions of a project, client relationships and/or expenditures.
Supervision Received: Works independently under general supervision. Work is reviewed for overall adequacy in meeting objectives.
Leadership: Provides guidance and training to less experienced staff as needed. Takes a lead role in group, team or project.
Problem Solving /Operations/Direct Work Involvement: Develops solutions to a variety of problems, typically of moderate scope and complexity. Refers to and interprets policies and practices for guidance.
Client Contacts: Contacts other departments and or external organizations or parties frequently. Contacts are primarily at or below upper management levels. Represents organization on specific projects. Communication may involve persuasion, and negotiation.

Additional Knowledge, Skills and Abilities

2 - 4 years of Casualty claims handling experience is required.
Exposure to SIU related issues preferred.
Insurance coursework preferred.
Bilingual skills a plus.