JOB DESCRIPTION
:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit.
Contributes to customer satisfaction by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, and following company's claim handling protocols.
Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim.
Works with appropriate internal and external partners, suppliers and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes.
Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
Developing ability to manage expenses by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
Developing basic knowledge of the commercial insurance industry, products and claim practices.
Good verbal and written communication skills with the ability to demonstrate empathy while providing exceptional customer service.
Ability to develop collaborative business relationships with both internal and external work partners.
Able to exercise independent judgement, solve basic problems and make sound business decisions.
Analytical mindset with critical thinking skills.
Strong work ethic, with demonstrated time management and organizational skills.
Ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Adaptable to a changing environment
Ability to value diverse opinions and ideas
Education & Experience:
High school Diploma required. Associates or Bachelor's Degree preferred.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Prior claim handling, or business experience in the insurance industry and/or customer service is preferred.
Commercial General Liability Claims Representative • DeWitt, NY, USA
Job DescriptionReady to jump-start your career and take charge of your earning potential?At Platinum Supplemental Insurance, we're looking for motivated individuals ready to learn, grow, and thrive... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area.Our company was built by insurance company claims... Show more
Join The Johnson Controls Team.Build your best future with the Johnson Controls team.As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of b... Show more
To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.OFFICE LOCAT... Show more
Are you a relationship-driven commercial lender who thrives on building meaningful partnerships and supporting local businesses? Pathfinder Bank is seeking an experienced AVP, Commercial Lender to ... Show more
Gallagher Claims And Risk Consulting TeamAt Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate.You'... Show more
IntroductionAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, its our purpose.Every day, we help clients navigate ... Show more
Serves customers by selling products and meeting customer needs.Services existing accounts, obtains orders, and establishes new accounts by planning and organizing daily work schedule to call on ex... Show more
Jacobs Program Management and Construction Management-for-Fee Position.At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, res... Show more
Responsible for performing various collection duties on consumer or mortgage accounts in various stages of risk or performance to effectively reduce delinquency, losses and increase recoveries.Area... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Team Lead Claims - Workers Compensation.Our client, a Business Solutions company, is looking for a Team Lead Claims - Workers Compensation for their Syracuse, NY/ Hybrid location.To analyze complex... Show more
Title: Account Manager - Commercial Lines.Binghamton, NY or Syracuse, NY office.Construction, Contractors, Habitational |.Please note: If this position is posted as either fully remote and/or hybri... Show more
Overview of the Opportunity:A prestigious government agency is tackling the backlog of special education claims in New York City, aiming for timely and equitable resolutions of disputes between par... Show more
Claims AdjusterAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we help clients navig... Show more
Account Sales Representative Job Duties: Identifies market potential by qualifying accounts.Initiates sales process by scheduling appointments; making initial presentation; understanding account re... Show more
Life Insurance And Annuity Adviser.Preferred Choice Financial Group currently has an opening for enthusiastic, caring and outgoing professionals looking to take their first step in a career as a li... Show more
Job TitleResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation.Monitors and controls back... Show more
Title: Senior Account Associate - Commercial Lines.Remote: Eastern and Central Times Zones Only.Contractors, Hospitality, Real Estate.Please note: If this position is posted as either fully remote ... Show more
