Apply on Employer Site

Society Insurance · 3 months ago

Claims Rep II-General Liability (Bodily Injury focused)

Fond du Lac, WI

Full-time

Hybrid

Mid Level

3+ years exp

Society Insurance is seeking a Claims Representative II to join their Claims team, focusing on general liability claims. The role involves resolving mildly complex claims by investigating losses, negotiating settlements, and mentoring other claims representatives.

Insurance

Responsibilities

Settles mildly complex claims by determining insurance carrier’s liability and reaches agreement with claimant according to policy provisions and authority level

Handles mediations, arbitrations, subrogation, and recorded settlement agreements

Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate

Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities

May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement

Resolves questionable claims by investigating the claim and comparing claims information with evidence

Ensures proper file documentation of assigned files by complying with company and state requirements

Prepares reports by collecting, analyzing, and summarizing claim information

Contributes to team effort by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed

Qualification

Claims handling experienceGeneral liability claimsInsurance policies knowledgeGuidewire Claims SystemProfessional insurance designationsAnalytical skillsNegotiation skillsCommunication skills

Required

Bachelor's Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience

Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology

Ability to obtain and maintain proper licensing prior to handling a state that requires it