The Mutual Group ยท 11 hours ago
Claims Associate - Hybrid or On-site Opportunity
The Mutual Group is seeking a Claims Associate to handle tasks related to low complexity claims. This role involves adjusting claims, collaborating with departments, and providing exceptional customer service while ensuring organizational needs are met.
Responsibilities
Adjusts low complexity claim files to company standards
Handles opening new exposures as assigned
Creates settlement letters for claims as requested
Collaborates with other departments as needed to ensure claim handling quality
Provides correspondence between departments and customers to achieve resolution to the customer questions and claim handling
Acts as first point of contact for customers, agents, and third parties via multiple platforms, including phones and emails
Investigates coverage and cause of loss on low complexity claims, which includes but is not limited to policy review, interviewing all parties associated with the loss and gathering and analyzing all necessary investigative documentation
Identifies exposures and refers files or features for triage to the appropriate level
Provides accurate assessments and negotiates fair and efficient claims resolutions while managing costs. Settles losses according to the documented damage, the language of the policy of insurance, pertinent regulatory and statutory considerations and within granted authority
Prepares written communication, including but not limited to settlement letters
Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated
Assigns and supervises field examiners and vendor resources, including but not limited to independent adjusters, engineers and other experts as needed
Obtains adjuster licensing as required
Issues payments on claim files
Acquires and maintains applicable adjuster licenses in all states where required
Qualification
Required
High School Diploma or equivalent education is required
Ability to take responsibility and work independently in a home-based environment
Strong communication and analytical skills are required
Ability to negotiate skillfully in difficult situations
Must have strong organizational and time management skills
Ability to formulate sound expense, indemnity, and business judgment while supporting loss evaluations and presenting them effectively
Basic computer skills including Microsoft applications Word, Excel, Outlook and the Internet
Perform work related simple and advanced mathematical problems and calculations
Compose written correspondence and factual reports which are well-organized and concise, utilizing proper English, grammar, punctuation and spelling
Demonstrates the ability to use commonly-used claims concepts, practices and procedures
Convey clear, concise information to others, using verbal or other appropriate communication techniques
Complete formal training plan and assignments as required
Preferred
Adjuster License preferred
Benefits
Competitive base salary plus incentive plans for eligible team members
401(K) retirement plan that includes a company match of up to 6% of your eligible salary
Free basic life and AD&D, long-term disability and short-term disability insurance
Medical, dental and vision plans to meet your unique healthcare needs
Wellness incentives
Generous time off program that includes personal, holiday and volunteer paid time off
Flexible work schedules and hybrid/remote options for eligible positions
Educational assistance
Company
The Mutual Group
The Mutual Group is an innovative insurance services platform providing a comprehensive suite of solutions designed to enhance the operational efficiency, scalability and long-term success of mutual insurance carriers.
Funding
Current Stage
Growth StageCompany data provided by crunchbase