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Goodville Mutual Casualty Company · 4 months ago

Claims Processor OR Claims Representative I OR Claims Representative II

New Holland, PA or Napoleon, OH

Full-time

Onsite

Entry, Mid Level

Goodville Mutual Casualty Company is seeking a Claims Processor to manage Super Service claims processing in accordance with company guidelines. The role involves providing customer service to agents, policyholders, and claimants while ensuring proper claim evaluation and settlement.

Insurance

Responsibilities

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

Qualification

Insurance knowledgeClaims processingComputer systems proficiencyEffective communicationOn-the-job training

Required

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

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

Preferred

Willingness to participate in insurance related study courses preferred

Company

Goodville Mutual Casualty Company

Goodville Mutual was founded in 1926 by a small group of Mennonite aware of the growing need for automobile insurance in Lancaster County, Pennsylvania.

Founded in 1926