Claim Rep Sr
The Commerce Insurance Company - Webster, MA

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Position may be filled as a Claims Specialist depending on candidate's skills and experience.

This is a multi-state casualty position within the ACIC Eastern Claims Office, which requires proficiency in interpreting, understanding and applying multiple policies/products and multi-jurisdictional claim handling requirements. The individual will need to possess or be able to obtain the appropriate state adjuster licenses required by state statute. The individual in this position will handle a pending of automobile casualty losses which will consist of primarily Bodily Injury and Un/Under Insured Motorist claims, but may also include 3rd party Homeowners liability claims. Experience will determine the degree of severity of these claims. With appropriate training, there may be some exposure to litigation management and/or arbitration. This individual will be responsible for screening new losses to determine coverage exposures, thoroughly investigating liability and injuries and assuring timely and effective processing and medical cost management. Frequent oral and written communication with medical providers, customers and attorneys are required and these communications must be timely and professional. Strong telephone customer service skills and the ability to empathize with claimants and customers are needed. Individuals should possess a high level of initiative and demonstrate the ability to work both independently and in a team environment with high productivity expectations in a fast paced environment. Strong business and decision making skills, as well as the ability to maintain a high degree of confidentiality are required. A moderate degree of independence is expected.

Education: Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience.

Experience: 4 - 6 years - or Associates Degree equivalent plus 6 - 8 years.
Knowledge: General knowledge of industry practices, standards, and concepts within field of work. Applies them to perform work requiring analytical business skills.

Decision Making: Makes decisions related to a wide variety of situations within management limits. Interprets guidelines and procedures, applying judgment and discretion. Decisions influence portions of a project, client relationships and/or expenditures.

Supervision Received: Works independently under general supervision. Work is reviewed for overall adequacy in meeting objectives.

Leadership: May provide training and guidance to less experienced staff.
Problem Solving /Operations/Direct Work Involvement: Develops solutions to a variety of problems, typically of moderate scope and complexity. Refers to and interprets policies and practices for guidance.

Client Contacts: Contacts other departments and or external organizations or parties frequently. Contacts are primarily at or below upper management levels. Represents organization on specific projects. Communication may involve persuasion, and negotiation.

A minimum of four years claims adjusting experience and college degree or equivalent work experience required. This position requires proficiency in interpreting personal auto policies as well as the homeowner Policies. This individual would possess exceptional customer service skills, strong negotiating skills and the ability to organize and prioritize work to assure customer service and productivity goals are met. Insurance Industry education strongly preferred. Strong telephone customer service skills and the ability to empathize are needed. General skills should include basic PC skills, specifically, accurate keyboarding skills. Individuals should possess a high level of initiative with the ability to work in a team environment with high daily workloads. Strong business and other decision making skills, as well as a high degree of confidentiality is required. Individuals will work independently with minimal supervision. Bilingual skills a plus. May be required to obtain necessary licensing for geographic area based upon business needs. Completion of the Casualty Claims training program is required.

The Commerce Insurance Company - 20 months ago - save job - copy to clipboard - block
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About this company
When it comes to auto insurance, MAPFRE U.S.A. is all over the map, yet still localized. Formerly known as The Commerce Group, the...