Claims Representative - Auto

Primary Responsibilities

• Investigate, evaluate and process assigned auto physical damage and small property damage claims.
• Serve as a primary point of contact to members via phone, email, fax and written correspondence regarding claim requests, status updates, and coverage explanations.
• Provide high-quality customer service in a fast-paced environment.
• Manage a high-volume claim workload, prioritizing tasks to meet service expectations, regulatory requirements, and organizational standards.
• Maintain accurate, timely, and well‑organized documentation within the claims management system while managing multiple active claims concurrently.
• Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.
• Assign and coordinate vendors for claim-related activities and manage incoming vendor reports.
• Ensure claims are handled in compliance with applicable laws, regulations, and internal claims handling standards, with an emphasis on quality and consistency.
• Monitor and coordinate work performed by outside investigators, auto appraisers, and independent adjusters.
• Facilitate salvage and subrogation activities, including monitoring recoveries on assigned claims.
• Deliver clear, accurate, and customer‑friendly coverage explanations and written correspondence, helping members understand claim decisions and next steps.
• Collaborate closely with internal teams, including risk control, underwriting, and claims leadership to support effective claim outcomes.

Required Qualifications

• Bachelor’s degree preferred; minimum of two (2) years of claims experience, with a strong preference for auto physical damage exposure.
• Excellent verbal and written communication skills, with the ability to deliver clear, professional, and customer‑focused communication to members, vendors, and internal stakeholders.
• Strong organizational and time‑management skills, including the ability to prioritize, multitask, meet deadlines, and independently follow up on open items.
• Maintain a high level of professionalism.
• Proficiency in Microsoft Office applications, including Excel and Word, with the ability to use technology effectively to document, track, and communicate claim activity.
• Commitment to continuous learning including willingness to participate in ongoing education with industry recognized training (IIA, AIC or INS or other relevant claims designations).