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Claims Representative Jobs in Pennsylvania

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Job Title: Property Claim Representative - Eastern PA
Company: Donegal Group Inc.
Location: Allentown, PA

Description:
At the Donegal Insurance Group, we trace our origins to the formation of the Donegal and Conoy Mutual Fire Insurance Company in Marietta, Pennsylvania on May 13, 1889.  The company was originally formed by area farmers in order to protect themselves from the potentially devastating financial impact of a loss of their property by fire. Eventually the name of the company was changed to Donegal Mutual Insurance Company, and we have been continuously serving the insurance buying public since 1889. Today, Donegal Insurance Group is an established leader in the property and casualty insurance industry writing a full range of products in the Mid-Atlantic, Southeastern, and Midwestern regions. Rated 'A' (Excellent) by the A. M. Best Company, our dynamic group of companies offers opportunities for career growth and advancement, excellent benefits and a competitive salary.CLAIM REPRESENTATIVEProperty Claims DivisionWe are seeking an experienced Field Claim Representative with a minimum of 3 to 5 years experience in handling property claims. This position will handle homeowner and commercial property claims for the following counties: Northhampton, Lehigh, Carbon, and Bucks. The ideal candidate will have a proven track record of handling property claims in a competitive marketplace with exposure to other lines of claims a plus. Prior construction related experience helpful. Travel is required - company car and laptop are provided. JOB REQUIREMENTS·        Investigate, evaluate, and settle claims as assigned ·        Comply with instructions·        Determine and organize work schedule in order that all work can be completed timely·        Monitor reserves for adequacy and timely closing·        Maintain good relationship with agents, policyholders, and all company personnel·        Cooperate with other departments·        Report all risk information to the Underwriting Department that would indicate an undesirable policy·        Travel is requiredEXPERIENCE·        3-5 years of insurance experience or insurance related experienceEDUCATION·        Bachelor’s Degree with a background in insurance or equivalent experience SKILLS/TECHNICAL EXPERTISE·        Experience using Estimating Software – Xactimate preferred·        Construction knowledge or training We offer an excellent benefits package and a salary commensurate with experience. A winning attitude and the willingness to work as a team player are musts. If you would enjoy a professional position with a growing company, please submit your resume here today!  




Job Title: Insurance Claims Representatives Needed
Company:
Location: Scranton, PA

Description:
We are a Philadelphia based company looking for people to assist us in helping people with property damage. We need your help opening a new office in the Scranton area. We represent home and business owners when they have damage to their property so that the insurance companies treat them fairly. Our industry is well established. We have become the largest company in our industry. Set your own hours. Work full time or part time. No experience is necessary. We offer multiple locations to choose from in several states. Right now we are rapidly expanding in the Pennsylvania, New Jersey & Maryland regions. We offer company paid training, vesting & health care options. We consistently challenge our employees with company paid vacation packages & many other incentives. For consideration, please respond with breif work history. Real estate, mortgage, or inspection experience is a plus but not necessary. Thank you.




Job Title: Outside Claim Representative Auto Liability
Company: The St. Paul Travelers Companies, Inc.
Location: Wyomissing, PA

Description:
Conducts coverage investigation and analysis, outside liability investigation and analysis, evaluation of bodily injury, property damage claims, negotiation and resolution of PL and CL auto bodily injury claims and homeowners liability claims.  Makes face-to-face, same day contact with claimants and insureds, provides outstanding customer service, and adheres to company Best Practices.Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices.  Provides quality claim handling and superior customer service on assigned claims while engaging in indemnity and expense management.  Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management and disposition.PRIMARY DUTIES: Timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.  Consult with Unit Manager on use of Claim Coverage Counsel.Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.  Take necessary statements.Identify resources for specific activities required to properly investigate clams such as outside claim representatives, nurse consultants and fire or fraud investigations and other experts.  Request through Unit Manager and coordinate the results of their efforts and findings.Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation.Keeps effective diary management system to ensure that all claims are handled timely.  At required time intervals, evaluate liability and damages exposure, and establish proper indemnity and expense reserves.  Utilize evaluation documentation tools in accordance with department guidelines.Responsible for prompt and proper disposition of all claims within delegated authority.  Negotiate disposition of claims with insureds and claimants or their legal representatives.  Recognize and implement alternate means of resolution.Maintain claim files, have an effective diary system and document claim file activities in accordance with established procedures.Update appropriate parties as needed providing new facts as they become available, and their impact upon the liability analysis and settlement options.Recognize cases based on severity protocols to be referred to next level claim handler or Major Case Unit and refer on a timely basis.Fulfill specific service commitments made to certain accounts as outlined in Special Account Communication (SAC) instructions and inquiries from agents and brokers.EDUCATION/COURSE OF STUDY: College degree or equivalent in business discipline preferred.WORK EXPERIENCE: A minimum of one to two years of auto and homeowner (or GL) claim handling experience and one year bodily injury claim experience is preferred.COMMMUNICATION SKILLS: Poised, polished communication skills.COMPUTER SKILLS: Strong keyboarding skills and basic PC familiarity.OTHER: Ability to work independently in a virtual home office environment. Must be flexible to meet the service needs of our customers and business partners. Strong negotiation skills. Ability to handle multiple tasks simultaneously in a fast-paced environment. Independent decision making ability Auto appraisal skills are also a plus. This position requires either the use of a company car or 6,000+ reimbursement miles.  Therefore, any offer of employment will be contingent on having a valid drivers license and upon receipt of an acceptable Motor Vehicle Report. Basic working level knowledge and skill in various business line products.Travelers is an equal opportunity employer.  We actively promote a drug-free workplace.Please refer to job code 792236_PA-Wyomissing when responding to this ad.




Job Title: Outside Propety Claim Representative/Trainee Job
Company: Travelers
Location: Wyomissing, PA

Description:
Outside Propety Claim Representative/Trainee Job Job DescriptionJob Title:Outside Propety Claim Representative/TraineeJob ID:793063Location: PA-WyomissingAvailable Openings:Committed. Competitive. Constructing our Future.That's Travelers. We are one of the leading insurance companies in the United States. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.Job Title - Outside Property Claim Representative or TraineeLocation -Delaware County and Philadelphia County, PASUMMARY:A leading provider of Auto, Liability, Property and Workers- Compensation Insurance seeks talented, committed, and professional team players to join our exciting, fast-moving and growing claim operation located in the Reading, PA. We are looking for adjusters in the Delaware County and Philadelphia County, PA area. We are looking for employees who demonstrate: the creativity to develop new solutions to old problems, the flexibility to adapt to our customer needs, the mindset to think and act like an owner, and the commitment to serve our customers better and faster than anyone in the industry. In return, we offer competitive pay, benefits and the opportunity to grow with an industry leader. Pay opportunity commensurate with experience, skills and competencies.PRIMARY DUTIES:Handle first-party Property claims of medium to high severity and complexity as assigned.Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.Investigate and evaluate all relevant facts to determine coverage, damages and liability of first-party property damage claims.Establish timely and accurate claim and expense reserves.Negotiate and convey claim settlements within authority limits.Write denial letters, Reservation of Rights and other complex correspondence.Control damages through proper usage of cost containment tools.Meet all quality standards and expectations per Best Practices.Maintain an effective diary system and document claim file activities in accordance with established procedures.Manage file inventory to ensure timely resolution of cases.Handle files in compliance with state regulations where applicable.Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers.Identify and refer claims with MCU exposure to the supervisor.Recognize when to refer claims to Special Investigations Unit and/or Subrogation Unit.Act as a technical resource for Claim Representatives.Perform administrative functions such as expense accounts, time-off reporting, etc. as required. Perform other duties as required.As part of your job responsibilities, you may participate in several CAT Tours each year. Each CAT Tour deployment will range in duration from 21 to 30 days. You must have the ability to travel to these CAT sites as needed.EDUCATION/COURSE OF STUDY:College degree or equivalent in business experience preferred or college degree coupled with previous experience in construction or related fields.WORK EXPERIENCE:Two to five years personal lines experience and commercial lines experience preferred.Knowledge of construction, estimating and estimating system (Xactimate preferred)Must be able to stoop, bend, crouch and climb to ensure full damage assessment on-site. Must be able to access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces. Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder; transition to and from ladder to area requiring inspection; walk on roof.CERTIFICATE/DEGREES:Completion of claim handling training programValid driver-s license; acceptable Motor Vehicle Report.COMMUNICATION SKILLS:Must display solid verbal and written communication skills.Hardware and software skills and abilities including computers and other similar electronic devices.Excellent organizational skills with the ability to work independently.Travelers is an equal opportunity employer and invites culturally diverse applicants to join our team. We actively promote a drug-free workplace.Travelers is an equal opportunity employer. We actively promote a drug-free workplace.




Job Title: Claims Specialist- Part-time
Company:
Location: Philadelphia, PA

Description:
Harleysville Insurance is a premier regional property and casualty insurer offering a full portfolio of commercial lines, personal lines, life, and flood insurance products. We have an excellent opportunity for a Part-Time Claims Specialist Associate to join our team of "Good People to Know?. This position is located in our Central Claims Unit in Harleysville, PA and will only be filled in a Part-Time capacity. Hours: 20-30 hours/week; Weekday afternoons until 7pm and 8am-2pm every other Saturday. Please do not apply if not seeking these hours. Overview: The person in this role will investigate, negotiate and settle claims of moderate exposure within personal settlement authority or under close supervision to handle claims of a more serious nature. Render prompt claim service and establish the best possible relationship with all persons involved. Essential Duties & Responsibilities: 1. Responsible for claims intake, identifying and setting up exposures at standard reserves, establishing a claim file either through automated or manual systems and obtaining policy information through the use of all policy applications. 2. May also be responsible to perform a thorough investigation of the loss including securing signed statements, medical records and reports, proof of loss, police reports, diagrams, photographs or testimony from technical experts. 3. May request assistance from other Company employees or outside vendors when information is not directly available. 4. Interpret coverage issues where possible within the limits of personal authority and seeks advice and consultation on more involved cases. This includes reviewing policy language and endorsements as well as using reference materials to determine legal precedent. On claims where investigation warrants denial, prepares denial materials including documentation and communicates the decision to the affected parties. 5. Evaluate and appraise losses and applies deductibles, betterment and depreciation principles in arriving at a settlement amount. This may include writing estimates and acquiring agreed prices for property damage as well as assessing bodily injury and related awards for personal injury cases. 6. Review all bills and estimates prior to making settlement or seeking settlement authority to determine applicability for payment under policy provisions. 7. Prepare drafts, negotiates settlements and performs all tasks required to close a case and effect efficient and fair settlement of claims. This may include the proper handling of subrogation and disposal of salvage or property owned by the Company to reduce paid loss amounts. 8. Prepare all worksheets, forms, documentation and reporting duties to create a file that is capable of being used by others to monitor progress or continue efficient handling of a claim. To apply please go to our website www.harleysvillegroup.com or click on the link below: http://www2.ultirecruit.com/har1006/jobboard/NewCandidateExt.aspx?__JobID=1206




Job Title: Claim Rep, Trainee - Outside
Company: Travelers
Location: Wyomissing, PA

Description:
Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   SUMMARY: This position is a trainee position that will require 24 hour deployment to storm sites. This deployment may involve working under adverse weather conditions and working with a sense of urgency to assist customers in catastrophic events. Complete formal Property Training Program for consideration of advancement to Outside Property Claim Representative Position. This will include, but not be limited to formal training held in our state-of-the-art training facility in Windsor, CT, as well as on the job training in the field. Effective handling of personal and commercial lines property claims of basic to moderate complexity. Contacting clients, determining coverage, scoping of loss and completing damage estimates via Xactimate software, negotiating and settling claims per Best Practices and within DOI regulations. Managing a file inventory in an organized manner including maintaining an effective diary system and accurately documenting claim activity in system file notes in order to effectively resolve claims. Perform administrative functions such as expense accounts, time off reporting, etc. as required  Perform any other duties as required. Demonstrate proficiency in estimating, investigation, evaluation, and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality. PRIMARY DUTIES: Handle Property claims of lesser value and complexity as assigned. Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer-assisted estimates. Investigate and evaluate all relevant facts to determine coverage, damages, and liability of property damage claims. Access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries, and crawl spaces Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder;  transition to and from ladder to area requiring inspection; walk on roof. Establish timely and accurate claim and expense reserves. Negotiate and convey claim settlements within authority limits. Write denial letters, Reservation of Rights, and other complex correspondence. Control damages through proper usage of cost containment tools. Meet all quality standards and expectations per Best Practices. Maintain an effective diary system and document claim file activities in accordance with established procedures. Manage file inventory to ensure timely resolution of cases. Handle files in compliance with state regulations, where applicable. Provide excellent customer service to meet the needs of the insured, agent, and all other internal and external customers. Identify and refer claims with MCU exposure to the supervisor. Recognize when to refer claims to Special Investigations Unit and/or Subro Unit. Perform administrative functions such as expense accounts, time off reporting, etc. as required. Perform any other duties as required. EDUCATION/COURSE OF STUDY: College degree or equivalent in business discipline. WORK EXPERIENCE: Previous property claim handling experience is preferred. Knowledge of construction, estimating and estimating system (Xactimate preferred) COMMUNICATION SKILLS: Must display solid verbal and written communications skills. COMPUTER SKILLS: Hardware and software skills and abilities including computers and other similar electronic devices. OTHER: General knowledge of insurance industry. Excellent organizational skills with the ability to work independently. Solid analytical skills. Excellent negotiation skills. Candidates must have excellent customer service, communication and organizational/time management skills, as well as the ability to competently handle multiple tasks simultaneously. Two or four year college degree preferable, however all candidates will be considered. Construction industry experience and/or knowledge are a plus. Claim adjusting experience in another line of business is helpful. Must possess a Valid Driver's license. Working Environment: Inside/Outside working environment, including access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces. Lift, carry, unfold, and set up ladder weighing approximately 38 lbs; climb ladder; transition to and from ladder to area requiring inspection; walk on roof or other similar physical tasks.  This position requires extensive nationwide travel and the incumbent must be available for immediate deployment within 24 hours of notification. The required standard tour length of 28 consecutive workdays, plus 2 travel days is also expected to be met. Travelers is an equal opportunity employer.




Job Title: Sr. Claim Specialist, Construction Liability (Severe Auto/GL Claims)
Company: Travelers
Location: Wyomissing, PA

Description:
Summary Position for a dedicated Construction Claim top technician whose responsibilities would be to investigate, evaluate, reserve, negotiate and resolve assigned Construction liability claims in accordance with Best Practices.  Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management.  Promptly manage claims by completing essential functions including contact, investigation, damages development, evaluation, reserving, litigation management, and disposition. Provides consulting and training resources, and serve as a contact and technical resource to the field and our business partners. Primary Duties and Responsibilities Directly handle assigned severe claims. Provide quality customer service and ensure file quality timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. Consult with Manager on use of Claim Coverage Counsel as needed. Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.  Interview witnesses and stakeholders, take necessary statements, as strategically appropriate. Complete outside investigation as needed per case specifics. Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.  Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Maintain claim files and document claim file activities in accordance with established procedures Utilize evaluation documentation tools in accordance with department guidelines. Proactively review CFAs for adherence to quality standards and trend analysis. Utilize diary management to ensure that all claims are handled timely.  At required time intervals, evaluate liability & and ensure damages exposure. Establish and maintain proper indemnity & expense reserves. Recommend appropriate cases for discussion at roundtable. Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. Apply the Companys claim quality management protocols, Best Practices and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance, Develop and employ creative resolution strategies. Responsible for prompt and proper disposition of all claims within delegated authority.  Negotiate disposition of claims with insureds and claimants or their legal representatives.  Recognize and implement alternate means of resolution. Manages litigated claims.  Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. Apply litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy. Track and control legal expenses to assure cost-effective resolution. Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognize cases, based on severity/complexity protocols, that should be transferred to another level of claim professional and refer on a timely basis. Appropriately deal with information that is considered personal and confidential. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws Actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength. Share accountability with business partners to achieve and sustain quality results. Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts. Education / Work Experience College degree or equivalent in business experience preferred Substantial experience in claim operations, 5-10 yrs. High level technical expertise involving Construction losses. Comprehensive working level knowledge and skill in various business line products Strong negotiation and customer service skills Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. Able to make independent decisions on most assigned cases without involvement of supervisor. Openness to the ideas and expertise of others actively solicits input and shares ideas. Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices. Demonstrated coaching, influence and persuasion skills. Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. Can adapt to and support cultural change Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. State insurance adjusting license (where applicable) and ongoing satisfaction of any necessary continuing education requirements. Other Leading the Business: Drive Results Leads Change Executes Business Strategy Leading Others: Attract Top Talent Maximize Individual Performance Holds Others Accountable Aligns Rewards Creates and Sustains a Dynamic Workplace-promotes Enterprise culture Leading Self-Emotional Intelligence Demonstrates Self-Awareness-initiative and accountability Applies Critical Thinking Communicates Effectively & Influences Others Exhibits Courage, Conviction & Credibility Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position.  As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application.  You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.




Job Title: Sr Claims Specialist Commercial General Liability STS
Company: The St. Paul Travelers Companies, Inc.
Location: Wyomissing, PA

Description:
Committed.  Competitive.  Constructing our Future.Thats Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.Position is based out of Wyomissing, PA office only  and is NOT eligible for work-from-home/telecommuting **Senior Technical Specialist, General Liability ClaimsIn this role you will investigate, evaluate, reserve, negotiate and settle assigned General Liability claims (resulting from product liability, commercial injuries such as slip and falls, etc) in accordance with Best Practices for our customers.  In addition, you will provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management.Primary Duties:Provide quality customer service and ensure file quality; comply with Best Practices.Conduct timely coverage analysis and communicate with insured based on application of policy information to facts or allegations of each case.Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.Take necessary statements.Identify resources for specific activities required to properly investigate claims such as outside claim representatives, nurse consultants, and fire or fraud investigators and to other experts.Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.Maintain an effective diary management system to ensure that all claims are handled timely.At required time intervals, evaluate liability & damages exposure, and establish proper indemnity & expense reserves.  Utilize evaluation documentation tools in accordance with department guidelines.Disposition all claims within delegated authority, promptly and properly.Negotiate disposition of claims with insureds and claimants or their legal representatives.  Recognize and implement alternate means of resolutionAttend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.Supervise litigation by choosing staff or panel counsel to litigate casesWork closely with staff or outside counsel to develop a litigation plan, including discovery and legal expenses to assure effective resolution and to satisfy our customersRepresent the company as a technical resource; attend legal proceedings as needed, act within established professional guidelines as well as applicable state lawsUpdate appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.Recognize cases based on severity protocols to be referred to next level claim handler or Major Case Unit and refer on a timely basis.Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. The preferred candidate for this role will possess the following:General Liability claim experience with current knowledge of jurisdictional laws and regulations.Excellent oral and written communication skillsBasic computer skillsCollege degree or equivalent related work experienceState licenses, where applicableTravelers is an equal opportunity employer.  We actively promote a drug-free workplace.Please refer to job code 792401_PA-Wyomissing when responding to this ad.




Job Title: Sr. Claims Specialist - Commercial General Liability (STS)
Company: Travelers
Location: Wyomissing, PA

Description:
Position is based out of Wyomissing, PA office only  and is NOT eligible for work-from-home/telecommuting ** Senior Technical Specialist, General Liability Claims In this role you will investigate, evaluate, reserve, negotiate and settle assigned General Liability claims (resulting from product liability, commercial injuries such as slip and falls, etc) in accordance with Best Practices for our customers.  In addition, you will provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Primary Duties: Provide quality customer service and ensure file quality; comply with Best Practices. Conduct timely coverage analysis and communicate with insured based on application of policy information to facts or allegations of each case. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Take necessary statements. Identify resources for specific activities required to properly investigate claims such as outside claim representatives, nurse consultants, and fire or fraud investigators and to other experts. Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Maintain an effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure, and establish proper indemnity & expense reserves.  Utilize evaluation documentation tools in accordance with department guidelines. Disposition all claims within delegated authority, promptly and properly. Negotiate disposition of claims with insureds and claimants or their legal representatives.  Recognize and implement alternate means of resolution Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Supervise litigation by choosing staff or panel counsel to litigate cases Work closely with staff or outside counsel to develop a litigation plan, including discovery and legal expenses to assure effective resolution and to satisfy our customers Represent the company as a technical resource; attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognize cases based on severity protocols to be referred to next level claim handler or Major Case Unit and refer on a timely basis. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. The preferred candidate for this role will possess the following: General Liability claim experience with current knowledge of jurisdictional laws and regulations.  Excellent oral and written communication skills Basic computer skills College degree or equivalent related work experience State licenses, where applicable




Job Title: Personal Injury Protection (PIP) Claim Representative
Company: Unitrin, Inc
Location: Plymouth Meeting, PA

Description:
Job Description : Looking for a New Career Opportunity as a Personal Injury Protection (PIP) Claim Rep? Discover for yourself what makes Unitrin Direct the insurance company for U! Apply online at: https://home.eease.com/recruit/?id=446528 Learn more at: www.unitrindirect.com Position Summary Unitrin Direct Auto Insurance is currently seeking an ambitious, goal-oriented PIP Rep at our Plymouth Meeting, PA office. Responsibilities Contribute to efficient and equitable claim settlement through investigation, coverage analysis, injury evaluation, and negotiation of assigned claims arising from auto personal injury losses.  May make equitable settlement recommendations.  Correspond with the insured, claimants, attorneys and providers to obtain facts of the loss, including injuries and treatment to determine amount of PIP exposure and necessary reserving for same. Compare data on claim application, death certificate, or physician statement with policy file and other company records to ascertain completeness and validity of claim. Determine necessity of medical management including IME or peer review by reviewing medical information received from treatment notes and diagnosis of injury. Determine if treatment plan is reasonable, necessary or related. Negotiate fair settlement amounts through the tactful application of human relations skills. Prepare, within authority, acceptable loss assessments on assigned cases, negotiated in a manner commensurate with corporate objectives and insured/claimant exceptions of equitable settlements. Ensure that reserving activities are consistent with corporate policies. Review and analyze probable financial impact of loss exposure through reserves formulation and approval, including regular monitoring to assess reserve adequacy.  Position Requirements 3-5 years of recent PIP experience required Knowledge of medical, CPT and ICD-9 coding Strong computer knowledge Strong negotiation and investigation skills Detail oriented with strong analytical and problem solving skills Strong communication and organizational skills Strong customer service orientation and attention to detail 4 year college degree preferred or equivalent industry experience About Us The Unitrin Property and Casualty Insurance Group is made up of Kemper and Unitrin Specialty, which sell personal lines and commercial auto insurance through a network of independent agents; and Unitrin Direct, which sells personal auto and homeowners insurance directly to consumers. This group represents 73% of Unitrin's $2.5 billion of annual insurance premiums. Our employees enjoy great Benefits Choice of healthcare plans Choice of dental plans Flexible paid time off program Business casual dress 401(k) with matching Defined Contribution Retirement Plan Employee referral bonuses Education assistance Certification assistance Charitable giving Unitrin Direct values diversity and strives to be an employer of choice. An Equal Opportunity Employer, M/F/D/V.




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