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Intact Insurance Specialty Solutions · 1 day ago

Claim Representative - Accident and Health (Hybrid or Remote)

Plymouth, MN

Full-time

Hybrid

Entry Level

$62K/yr - $88K/yr

1+ years exp

Intact Insurance Specialty Solutions is a leader in the specialty insurance market, dedicated to providing tailored solutions for businesses. The Claim Representative will efficiently manage assigned claims through investigation, evaluation, and negotiation to ensure timely resolution.

FinanceFinancial ServicesInsurance

Growth Opportunities

Responsibilities

Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages. Takes a recorded statement from all parties involved in the claim

Independently determines exposure, establishes adequate initial reserves and makes timely adjustments as required

Assigns and directs activities of internal and external resources as required; including independent adjusters and appraisers. Determines whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinions, etc

Independently determines settlement value of the loss and negotiates proper settlement of claims within authority. Provides recommendations to management for settlement and disposition of claims exceeding authority level

Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate

Stays abreast of state license requirements and participates in education as required

Qualification

Claims experienceBodily Injury expertisePIP expertiseMedpay expertiseNegotiation skillsBachelor's degreeClaims technical experienceCustomer serviceDocumentation skills