Claims Representative

Internal Deadline to Apply: Wednesday, September 30th

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.
• 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.
• Engage in claims educational opportunities, both in‑house and external, as sponsored by management.
• Always represent Acuity in a professional manner.
• Complete a mandatory training program as determined by Acuity.
• Regular and predictable attendance.
• Perform other duties as assigned.

Education

College degree or equivalent relevant experience.

Experience

Customer service or insurance experience preferred.

Training Requirement: 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.
• U.S. work authorization sponsorship is not provided.
• Exempt classification.

Pay

The salary range for this position is $70,000 annually. This range is an estimate; 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.