Vermont Mutual Insurance Group · 2 days ago
Claim Representative II - Subrogation
Montpelier, VT
Full-time
Remote
Mid Level
3+ years exp
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Responsibilities
Conduct and coordinate loss investigations on all assigned claims.
Negotiate the settlement of claims within authorized amounts or specific file authority.
Maintain accountability for all assigned claims until disposition is reached.
Recommend further action on claims exceeding authority limits.
Document all substantive activity on assigned claims and assist in the control of independent vendors.
Review new referrals and open files on diary to ensure reserve adequacy while keeping management informed of adverse developments.
Monitor loss adjustment expense and take steps to mitigate file expenses.
Utilize vendors judiciously to maximize value added.
Review coverage questions and work with supervisor and claim management for approval.
Refer appropriate coverage matters to the Claim Supervisor or Claim Manager.
Ensure appropriate file handling, documentation, reporting and expense control of all files handled.
Provide accurate, courteous and timely information to all eligible external and internal customers concerning claim status and other claim inquiries.
Attend meetings with policyholders and agencies as needed.
Serve as a technical resource within the department through mentoring and knowledge sharing.
Draft coverage correspondence, including reservation of rights and coverage disclaimer along with composing detailed correspondence to insureds, claimants, attorneys, etc.
Attend trials, depositions, EUO’s, appraisals and mediations where deemed beneficial or required.
Improve processes within the department to increase the level and quality of service provided to internal and external customers, i.e. workflow changes, systems implementation, etc.
Participate in setting file direction and recommend appropriate reserves on claim files within specific authority and on files requiring mandatory reporting to management.
Coordinate and deliver technical training for agents, peers and clerical personnel.
This position handles an assigned claim pending.
Performs other duties or special projects as required or as assigned.
Qualification
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Required
Bachelor's degree in business, insurance or a related field, or its equivalent
Three or more years of relevant claim technical experience; or a combination of education and experience from which comparable knowledge and skills are acquired.
Appropriate state adjuster’s license(s) where required by law.
Sound knowledge of the technical aspects of property and/or casualty claims related to the core responsibilities assigned to the position.
Demonstrated commitment to professional development through continuing education related to the job such as AIC, AEI, INS, SCLA CPCU, etc.
Established and improving skills in specialized technical disciplines; including working knowledge of relevant insurance, contract and tort law.
Knowledgeable about the insurance industry and company operations.
Sound analytical, and negotiations skills.
Very good verbal and written communication skills.
Ability to exercise sound judgment in dealing with professional and personnel situations.
Ability to work effectively with a wide range of outside firms, etc.
Ability to collaborate effectively with company management, peers and support staff.
Demonstrated customer service orientation.
Proficiency with PC applications including Microsoft Office (Word, Excel & Outlook); Experience with imaging and estimating programs preferred.
Ability to perform job duties under stressful situations.
Preferred
For field based positions, previous outside experience is preferred and a valid driver’s license is required.
Experience with imaging and estimating programs preferred.
Company
Vermont Mutual Insurance Group
Vermont Mutual Insurance Group is an insurance company that offers inland marine, personal, and commercial insurance products.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dan Bridge
President, CEO and Board Chair
Sam Hopkins
VP & Chief Information Officer
Recent News
Vermont Business Magazine
2024-04-19
Company data provided by crunchbase
