Founders Insurance Company, a member of the Utica National Insurance Group and rated A- (Excellent) by A. M. Best, is seeking a Claim Representative for our corporate office in Des Plaines, Illinois. Founders specializes in the writing of automobile and homeowners insurance and commercial property and casualty insurance for the hospitality industry. Responsibilities: Receive and initiate timely reviews of new assignments and then analyze policies, endorsements, and circumstances reported to determine what coverages, if any, apply to a particular claim/accident. Immediately issue an appropriate reservation of rights letter for any known/unresolved coverage issue. Communicate directly with insureds, claimants, witnesses, doctors, attorneys, body shops, and others by telephone, through written correspondence, and occasionally in person. Conduct prompt investigations which include verbal and recorded statements from insureds, claimants, and witnesses. Obtain and verify damages including but not limited to obtaining copies of police reports; repair estimates; medical bills; medical records, and photographs. Review, interpret, and evaluate all information and document claim file to ascertain the proper amount of damages for any type of claim / exposure. This includes interpreting / understanding medical terminology and analyzing the condition or injury. Adjust, negotiate, and settle claims for proper amounts within authorization or as directed by superior; secure releases then issue settlement drafts or deny unjustified claims as soon as practical (authorization from superior/manager on all questionable matters, on all settlements exceeding adjusters authorization, and on all claims prior to denial). Maintain strict diary on all active files. Follow directives and instructions from Team Leaders and Managers Fully document all activity on open or closed claims using the appropriate system. This includes a record of all contact, investigation, negotiations and documentary evidence. Perform other tasks as assigned.
1 – 2 years of relevant experience An associate degree, baccalaureate degree, or equivalent work experience is required. Excellent verbal and writing skills and contact with insureds, claimants, and attorneys Must display excellent organizational and customer service skills. Creative and effective investigation techniques and negotiation skills to control the amount paid on claims for material damage and injury settlements. This is a high claim volume/fast pace environment where the ability to adjust to different priorities throughout the work day is a necessary skill. The ability to speak fluent Spanish is a plus.Founders offers full-time, regular employees medical, dental, life and disability insurance; paid holidays and vacations; 401(k) and profit sharing retirement plans; and flexible spending accounts. Qualified applicants may forward their resumes by mail, facsimile or e-mail to: Human Resources Department Founders Insurance Company 1645 East Birchwood Ave.Des Plaines, IL 60018FAX firstname.lastname@example.org