Claim Representative I, Trucking Propert

Emergent Holdings - New Berlin, WI

Full-time - Entry Level

Remote - New Berlin, WI

Management of Companies and Enterprises

About the position

The Claim Representative I position at Emergent Holdings, Inc. is focused on handling Property Damage Commercial Auto Claims. This role involves exercising discretion in determining the compensability of claims, interpreting policy coverages, and overseeing the repair process. The representative will conduct detailed investigations, negotiate settlements, and ensure compliance with state legislation while managing relationships with internal and external stakeholders.

Responsibilities

• Verifies commercial auto coverage.
• Coordinates the repair process to include total loss and ultimate resolution of the claim.
• Determines compensability by thorough investigation of the claim.
• Determines causal relationship to ensure appropriate payment of benefits.
• Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure.
• Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies.
• Manages bills directly associated with the claim. Approves payment where appropriate.
• Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses.
• Works closely with manager on complex files or files above settlement/reserve authority.
• Manages outside vendors to ensure cost containment efforts.
• Establishes and maintains effective working relationships with all internal and external customers.
• Stays abreast of changes in auto statutes and case law in order to accurately interpret and apply relevant laws.

Requirements

• Bachelor's degree in a related field or relevant combination of education and experience may be considered in lieu of degree.
• Minimum one year relevant experience that provides the necessary skills, knowledge and abilities or completion of claims trainee program.
• Ability and proficiency in the use of computers and company standard software specific to position.
• Knowledge of medical and legal terminology related to the work.
• Knowledge of commercial auto laws and regulations, including jurisdictional laws.
• Effective oral and written communication skills.
• Effective customer service skills.
• Ability to negotiate, build consensus and resolve conflict.
• Ability to manage multiple priorities and meet established deadlines.
• Attention to detail and analytical skills.
• Ability to work independently as well as within a team.

Nice-to-haves

• Bilingual skills preferred.
• Certification or progress toward certification is highly preferred and encouraged.