Preferred Mutual Insurance Company · 1 week ago
Senior Claims Representative - Casualty
United States
Full-time
Remote
Mid, Senior Level
$72K/yr - $100K/yr
4+ years expPreferred Mutual Insurance Company is dedicated to providing flexible insurance solutions and is seeking a Senior Claims Representative - Casualty to alleviate the impact of adversity during challenging life events. The role involves investigating and resolving claims, managing indemnity and loss expenses, and ensuring customer satisfaction through efficient service.
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
Handles moderate to complex claims, with authority up to $75,000
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
Focuses on claims that involve determinations of liability and where damage has occurred to another person’s property or injuries to another person
Understands and maintains strict adherence to unit Key Performance Drivers (KPDs) including file quality, investigation, reserving acumen, customer service and workload management
Handles claims of moderate to complex severity, which may or may not be in litigation
Works with limited management oversight. Routinely makes recommendations to management on matters of coverage, liability, and damages
Ability to read, comprehend, and apply policy language with little to no assistance and make recommendations as appropriate
Ability to draft thorough and timely coverage letters, without oversight from manager and with final review by Claims Legal
Qualification
Required
High School Diploma or Equivalent
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
4 or more years of experience in claim processing, casualty claims preferred
Litigation experience strongly preferred
One professional designation or equivalent coursework preferred (i.e., AIC, CPCU, SCLA)
Benefits
Financial 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 employer contribution) are available based on the medical plan you choose
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.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Pauline E. Ashworth
Executive Vice President, CHRO, Chief DE&I Officer and Corporate Secretary
Michael DeHetre
EVP, Chief Underwriting Officer
Recent News
Rochester Business Journal
2025-05-04
2022-09-02
Company data provided by crunchbase