Af - Group - Chicago, IL
posted 22 days ago
Full-time - Entry Level
Remote - Chicago, IL
Religious, Grantmaking, Civic, Professional, and Similar Organizations
About the position
The Claim Representative I position is a remote role focused on handling Property Damage Commercial Auto Claims. The representative will exercise discretion in determining the compensability of claims, interpret policy coverages, and manage the repair process while ensuring compliance with state legislation. This role requires effective communication and negotiation skills to settle claims within given authority and maintain relationships with internal and external customers.
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.
