Claims Representative

Essential Functions

• Proactively investigate, evaluate and resolve assigned multi‑line property and liability claims within multiple state venues.
• Make timely and meaningful initial contact with parties involved in the claim, particularly claimants and insureds.
• Accurately evaluate policy coverage by applying claim facts to the policy contract terms.
• Consistently forecast reserves, by setting reserve initially with proper reserve coding and monitoring reserve adequacy throughout the course of the claim, consistent with Acuity’s reserve philosophy.
• Thoroughly investigate assigned claims by conducting phone interviews, obtaining recorded statements, securing photos, and obtaining written reports and/or documents.
• Maintain a personal follow‑up task on all claim files to assure timely, proactive handling, efficient claim file organization, quality customer service, and proper management of pending claims.
• Provide accurate and thorough claim file documentation, including timely entry of activity log entries, claims system screen updates, and imaged documentation.
• Identify potentially fraudulent claims and promptly refer suspect claims to the Special Investigations Unit (SIU).
• Participate in internal claims phone queue as assigned.
• Employ and manage outside vendor resources in a cost‑effective manner.
• Utilize sound judgment and discretion with settlement authority to properly and effectively resolve claims through negotiation, settlement or denial.
• Successfully manage litigation files according to company guidelines.
• Periodically participate in off‑hours storm claims duty as dictated by storm claims volume.
• Maintain a positive, professional attitude and represent Acuity in a professional manner.
• Engage in claims educational opportunities, both in‑house and external, as sponsored by management.
• Complete a mandatory training program as determined by Acuity.
• Maintain regular and predictable attendance.
• Perform other duties as assigned.

Education

College degree or equivalent relevant experience.

Experience

• Customer service or insurance experience preferred.
• Selected candidates will be required to participate in on‑site training up to 12 weeks within their first year; all expenses related to this training, including travel and accommodations, will be fully covered by Acuity.

Other Qualifications

• Excellent written and verbal communication skills.
• Proven organizational and time‑management skills.
• Proficient in current computer technology.
• Ability and willingness to provide quality customer service.
• Strong analytical and creative problem‑solving abilities.
• Ability to work both independently and in collaboration with others.
• Being bilingual in Spanish is preferred, but not required.
• This position is classified as exempt and does not sponsor applicants for U.S. work authorization.

Pay

The salary range for this position is $70,000 annually. This salary range is an estimate, and the actual salary will vary based on the applicant’s education, experience, knowledge, skills, and abilities.

Benefits

Acuity offers a comprehensive benefits package, including a generous 401(k) contribution, medical, dental, vision, life and disability insurance, paid time off, an Employee Assistance Program, and more. A full description of benefits and eligibility will be provided to candidates during the hiring process.

Internal Deadline to Apply: Wednesday, September 30th.