Claims Representative (Bodily Injury)

This Claims Representative (bodily injury) position offers flexible remote/hybrid work scheduling and is targeted for candidates located within the 9 states where Society conducts business. Learn more about Society Insurance.

About the Role

• Settles mildly complex claims by determining insurance carrier’s liability and reaches agreement with claimant according to policy provisions and authority level.
• May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.
• Handles mediations, arbitrations, subrogation, and recorded settlement agreements.
• Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.
• Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.
• Resolves questionable claims by investigating the claim and comparing claims information with evidence.
• Ensures proper file documentation of assigned files by complying with company and state requirements.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Contributes to team effort (as needed) by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed.

About You

• You enjoy communicating and building relationships with others.
• You are composed, cool under pressure, and can negotiate without damaging relationships.
• You hold yourself accountable and act in accordance with rules and regulations.
• You enjoy analyzing, investigating, and using the facts to make decisions.
• You are naturally curious and have a desire to know more.

Requirements

• Bachelor’s Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.
• Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
• Ability to obtain and maintain proper licensing prior to handling a state that requires it.
• Professional insurance designations highly desirable.
• Litigation experience highly desirable.
• Experience using Guidewire Claims System highly desirable.

Benefits

• Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance
• Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan
• Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options
• Education: Career Coaching; company-paid courses; student loan and tuition reimbursement
• Community: Charitable Match; paid volunteer time; team sponsorships
• Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more