Claims Service Representative
Current-Investigate claims and obtain relevant facts to determine coverage, loss and liability.-Interact effectively with customers, insurance agents, police, attorney and other public personnel involved in claim process.-Assist Supervisor in analyzing, planning, decision-making and problem-solving activities to support claim settlement.-Oversee legal and medical aspects of claims.-Document claim file activities in accurate and timely manner.-Resolve claim issues promptly and follow-up on outstanding issues.-Perform negotiation with insured and claimant to achieve claim settlements.-Communicate claim status to supervisor and customers on regular basis.-Contact outside agents for claim investigation if needed.-Recommend claim and expense reserves-Work in compliance with state regulations and applicable jurisdictions.-Perform claim assignments received from Supervisor in timely and accurate manner.-Work under the guidance and assistance of Supervisor to ensure accurate claim settlement.-Manage claim settlements within authority limits.-Attend educational workshops on claim filings.
