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Preferred Mutual Insurance Company · 1 month ago

Associate Claim Representative - Auto

United States

Full-time

Remote

Entry Level

$24/hr - $29/hr

1+ years exp

Preferred Mutual Insurance Company is an independent mutual company that provides flexible insurance solutions. They are seeking an Associate Claim Representative to investigate and resolve claims while supporting the Claims Department's goals and values.

Auto InsuranceFinancial ServicesInsurance

Responsibilities

Evaluate files for the accurate and timely reserving of claims in accordance with the Preferred Mutual reserving philosophy

Appropriately manage indemnity and loss expenses

Conduct thorough and timely investigation to determine liability and claim valuation

Treat customers in a proactive and responsible manner

Adjust schedule as needed to accommodate customer needs and/or fluctuations in work volume

Leverage technology as a critical component in achieving efficiencies and delivering superior customer service

Handle claims of moderate severity and complexity, with authority up to $45,000

Display an understanding of avenues of contribution and recovery by third parties and takes appropriate action when necessary

Resolve claims promptly and fairly in a manner that is reflective of coverage, liability, and damages

Demonstrate an understanding of claim procedures and file administration for proper file documentation and claim reporting

Demonstrate an understanding of products and coverages offered by Preferred Mutual

Meet file quality standards as determined by internal and external audits

Maintain workload in accordance with Key Performance Driver standards

Develop an understanding of fraud indicators

Recognize Key data points within the claim management and other systems and utilizes the data to make informed decisions and reach better claim resolutions

Handles low to no complexity losses (single vehicle comprehensive, some collision)

Focus on same day contact compliance, responsiveness & communication

Clearly documents files

Demonstrates understanding of coverages, accurately performs damages verifications

Displays knowledge of basic reserving fundamentals; diary management and cycle time for fast track claims

Quickly identifies and refers total losses

Makes decisions independently (within authority)

Ability to independently interpret the policy coverages and limits

Drafts basic correspondence to customers

Identify situations that are outside of their current scope and seek appropriate assistance

Qualification

Claim processing experienceProfessional designation AICProfessional designation CPCUOralTimeTechnology proficiencyActive listening skillsWritten communicationProject managementCollaboration skillsProblem solvingNegotiation skills

Required

High School Diploma or Equivalent

1 or more years of experience in claim processing

Exceptional active listening skills paired with effective oral and written communication skills

Make timely, definitive, and fact driven decisions

Strong time and project management skills that support continued process improvement

Skilled at collaboration, group decision making, problem solving and negotiation. Pursues duties and interactions with integrity

Proficient in technology platforms utilized by Preferred Mutual (including but not limited to Windows, Microsoft Office Suite, Outlook, and Internet-based applications)

Preferred

Bachelor's degree preferred

Progress toward attaining one professional designation preferred (i.e., AIC, CPCU, SCLA)

Benefits

Short-term disability, long-term disability, and life insurance coverage are provided at no cost

Optional benefits include enhanced life insurance and critical illness plans

401k plan with an employer contribution that you will receive regardless of your own contribution to the plan

A cash-balance pension plan

Student Loan Repayment Assistance

A short-term incentive plan for all employees

Generous paid time off, offering of 25 days at hire (prorated based on start date for the first year)

7 days of paid sick leave

10 paid company holidays

Personalized paid time off after 3 years!

Access to 26 sessions with a BetterHelp therapist each year for you and up to 5 dependents, as well as access to all of BetterHelp’s group and digital resources

Access to Family First, a team of care experts who can provide you and your loved ones 1:1 assistance with a variety of caregiving solutions, from elder care to legal and financial challenges, insurance and Medicare navigation, and more!

Medical, dental, and vision coverage options begin on the first day of employment

Health Savings Accounts (with a generous employer contribution!)

Company

Preferred Mutual Insurance Company

Preferred Mutual, a property and casualty insurance provider, helping more than 235,000 customers and over 500 independent agent partners Live Assured every day through superior products and unsurpassed customer service.

Founded in 1896

New Berlin, New York, USA

201-500 employees