Casualty Claims Representative

Title :

• Casualty Claims Representative Reports To : Claims Manager Location : East Lansing, MI Department : Property / Casualty and Workers’ Compensation (PC / WC) SET SEG is looking for a Casualty Claims Representative who will be responsible for the investigation, negotiation, adjustment, and resolution of designated PC claims.
• This position reports to the Claims Manager.
• WHO WE ARE School Employers Trust (SET) is a non-profit company that was created after a monumental shift in school funding happened in 1965.
• SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees.
• Two years later, its partner organization School Employers Group (SEG) was formed to administer compensation and fringe benefits for SET.
• As schools were faced with more challenges related to insurance, SEG evolved and grew into a company that provides workers’ compensation and property / casualty services for Michigan public schools.
• Today, SET SEG continues to expand and find creative ways to meet the specialized needs of its members.
• This, coupled with a superior member experience, is why SET SEG has maintained its position as an industry leader in the school insurance market.
• We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment.
• We are also listed on the Business Insurance Best Places to Work. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave.
• Our passion is delivering peace of mind to Michigan public schools and we look for team members who are motivated by our cause.

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Primary Responsibilities :

Provides oversight of medical, legal damage estimates, and miscellaneous invoices to determine if they are reasonable and related to designated claims Negotiates any disputed bills or invoices for resolution Assigns litigated claims to approved law firms and / or individual attorneys and monitors progress Follows a uniform system of reserving by reviewing incoming litigation, establishing initial reserves and completing reserve reports Negotiates settlements in accordance with claim handling standards while also considering member preferences when appropriate Attends facilitations / mediations as assigned Manages diary system to move losses to conclusion in a timely manner Participates in strategy sessions with internal business units such as Underwriting and Loss Control Other duties as assigned by the Claims Manager   Required Qualifications :