Catholic Mutual Group · 1 day ago
Senior Claims Representative #HIRING
Catholic Mutual Group is seeking a Senior Claims Representative to manage insurance claims from initiation to resolution. The role involves verifying coverage, investigating claims, negotiating settlements, and ensuring effective communication with all parties involved.
Employee BenefitsFinancial ServicesProperty DevelopmentRisk Management
Responsibilities
Receive claim assignments, verify coverage, and adjust claims directly or assign to independent adjusters
Instruct adjusters on procedures, review reports, and authorize settlements
Conduct thorough investigations by interviewing claimants and witnesses, inspecting property damage, and reviewing documents such as police reports and medical records
Assess damages related to property, personal injury, and liability claims; collaborate with appraisers and medical professionals
Negotiate fair and equitable settlements with claimants and their representatives
Maintain detailed records of investigations, communications, and decisions throughout the claims process
Serve as the primary point of contact for claimants, providing updates and ensuring transparency
Manage subrogation files and ensure proper recovery processes
Advise Member Services Representatives and the Risk Management Department on risk and coverage issues
Handle emergency calls during non-business hours and respond to urgent claims issues
Perform other duties as assigned
Qualification
Required
Bachelor's degree or equivalent work experience in property and casualty adjusting
Strong verbal and written communication skills; extensive telephone contact required
Detail-oriented with strong organizational and problem-solving abilities