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Acuity Insurance · 2 days ago

Field Claims Representative - Ohio (Columbus, Canton or Akron)

United States

Full-time

Remote

Senior Level

$60K/yr - $123K/yr

5+ years exp

Acuity Insurance is seeking a Field Claims Representative to investigate and manage claims in the field. The role involves evaluating liability, determining coverage, and arranging for settlement or denial of claims through comprehensive investigations and customer follow-ups.

Insurance

Growth Opportunities

No H1B

Responsibilities

Organizes work and arranges for immediate contact with all pertinent parties surrounding claim assignment

Completes a thorough investigation to determine coverage, assess liability and evaluate damages

Conducts investigations and provides customer follow-up in person

Evaluates, revises or recommends reserve changes

Inspects and determines property damage

Understands basic anatomy, medical terminology and has ability to decipher medical records and bills

Identifies and pursues all subrogation opportunities

Employs customer service concepts and requirements

Identifies potentially fraudulent claims and promptly refers them to the SIU

Maintains a sense of urgency while implementing proactive claim handling plans and procedures

Properly and effectively utilizes sound judgment, discretion and settlement authority to resolve claims through negotiation, settlement or denial

Handles all claims as assigned, including claims in other districts as requested

Maintains positive attitude

Always represents the Company in a professional manner

Maintains company property in good working order, requests new equipment and secures authorization for repairs

Maintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds

Supervises and directs defense attorneys in preparing a case for trial, including attending mediations and depositions

Must have a valid driver’s license and an acceptable motor vehicle record to operate a corporate vehicle

Regular and predictable attendance

Performs other duties as assigned

Qualification

Multi line claim adjustingPropertyCasualty claimsMedical terminologyCustomer serviceLaptop proficiencyOrganizational skillsTime managementWritten communicationVerbal communicationIndependent work