Inside Claims Representative I

Job Description:

• Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws.
• Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records.
• Obtains additional information as required to determine liability.
• Documents claim files and facilitates processing of claims in collaboration with other departments.
• Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action.

Requirements:

• High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
• Bachelor’s or Associate’s degree preferred.
• Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.
• Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants.

Benefits:

• Premier health, prescription, dental, and vision benefits for you and your dependents.
• Low contributions to medical and prescription premiums.
• Pension.
• 401(k) with up to 4% contribution match.
• Paid time off.
• Career development.
• Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.