Sr. Claims Service Representative

Company Details

 

Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.

 

As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard & Poor’s Financial Rating of A+ (Strong). 

 

This role is based in one of our three offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.  

• Urbandale, IA
• Luverne, MN
• Lincoln, NE 

The Company is an equal employment opportunity employer.   #LI-LD1 

 

Responsibilities

As a Senior Claims Service Representative, you'll investigate and resolve high frequency, low severity commercial auto claims in a prompt, equitable manner via telephone investigation. Additionally, you'll determines coverage, liability, damages, and reserves and conclude claim through negotiation or denial of claim.

 

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent.
• Internal mobility opportunities. 
• Visibility to senior leaders and partnership with cross functional teams.
• Opportunity to impact change.
• Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education.

 

We'll count on you to:

• Evaluate, assign, extract, or input data for new auto claims assignments. Perform administrative support functions for higher-level adjusting staff.
• Adept at examining commercial auto policies, contracts, and claim forms to determine coverage for routine matters.
• Investigate loss, evaluate exposures, and establish accurate reserves on high frequency, low severity commercial claims within established authority level.
• Deny or negotiate and settle claims.
• Correctly enters claim data into claim and related systems for reporting purposes.
• Re-evaluate exposures and reserves during the life of the claim.
• Review new losses received by the Claims Department to determine the type and level of loss.
• Make iinitial contact with insureds and/or claimants to obtain additional information related to the claim if necessary.
• May assign claims to Claims staff based on analysis of exposure. 
• Review data and create Excel spreadsheets to assist management with expenses, portal and goal management.
• Based on the needs of the business unit, performs administrative support functions that may include preparing routine correspondence, processing payments, completing routine forms for submission to State and National regulatory agencies, and testing production system releases.
• Answer calls received from the Customer Experience Center and assist callers or direct calls to appropriate claims staff.
• May assist agents, policyholders, and claimants with questions related to claims handled by others on the line-of-business team.
• Participate in educational, coaching, and mentoring opportunities to enhance claims-adjusting skills and knowledge.
• Performs other related duties as assigned by management.

Qualifications

• Relevant claims experience and/or training; or equivalent combination of education and experience.  Bachelor’s Degree preferred but not required.
• Completion of or progress toward AINS, AIC or similar designations preferred.
• Effective listening, verbal, and written communication skills necessary to interact effectively with internal and external customers.
• Proven customer service experience with strong customer orientation.
• Ability to successfully negotiate.
• Ability to interpret information, evaluate, research, and take steps to resolve problems.
• Demonstrates a willingness to embrace new systems, processes, technology, and ideas.
• Acts with a sense of urgency and possesses efficient planning, time management, and organizational skills.
• Ability to travel on an occasional basis to participate in business unit meetings and development opportunities.
• Regularly and consistently demonstrates a commitment to company values and guiding principles.
• Proficient with Microsoft Word, Excel and Outlook.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role