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Claims Representative

JOB SUMMARY

The Claims Representative investigates, evaluates, and settles multi-line claims within established authority level.  

SPECIFIC Duties include:
  • Determines coverage and investigates claims
  • Determines liability
  • Determines amount of loss/damage
  • Reviews and interprets policies to determine coverage
  • Makes personal, written, or telephone contact with general public, reporting agencies, and suppliers of goods/services
  • Determines settlement values
  • Reviews reserves and modifies as necessary within established authority or seeks appropriate approvals
  • Develops and documents claims files
  • Negotiates with insureds, claimants, or legal representatives
  • Issues claim and expense payments securing appropriate approvals for check requisition on claims exceeding authority
  • Ensures compliance with the Unfair Claim Practices Act and Good Faith Claim Handling regulation
  • Performs other miscellaneous duties as assigned or directed.
CANDIDATES MUST POSSESS:

Education Requirements:

  • Applicants must possess a Bachelor's degree or equivalent education and experience combination

Skills / Competencies:

  • Proficient interpersonal relations and communications skills (both written and verbal)
  • Thorough knowledge of claims law
  • Proficient analytical and problem-solving skills
  • Moderate computer knowledge
  • Demonstrated organizational and time management abilities
  • Demonstrated abilities to deal with a variety of personalities
  • Minimum of two years' experience with investigation, management, and negotiations of liability and property claims in MBG states of operation
Additional Information

Full benefits package, including health, dental reimbursement, vision, 401(k) and Roth 401(k), and PTO, starts the first of the month following employment. Please visit our Web site to learn more about us and why you might want to work with us.

Equal Opportunity Employer

Best Places to Work in PA Employer 2009, 2010, 2011, 2012, 2013, 2014, 2017,  2018 and 2022.

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Coverage/product information provided on this Web site is not an insurance policy or a supplement to any policy. This information is intended to provide a general description of products typically available through Mutual Benefit Insurance Company and Select Risk Mutual Insurance Company. The actual coverage provided is governed exclusively by the language contained within the insurance policy issued to you.