Job Title: Insurance Agency Claims Account Representative
Reports to: Claims Manager
FLSA Status: Non-Exempt
Job Code: CS13CARN
Summary Administers information from clients by phone, email and fax in order to process insurance claims; works with clients, adjusters, and Sales Executives on claims status, problems, and questions.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Assists clients of the agency in reporting and monitoring of all personal and commercial lines claims, which includes taking initial loss notice, getting loss notice to the appropriate insurance company, communicating with insured on adjuster assignment, tracking claims payments, and following the claim until closed by the insurance company.
Conducts initial reviews of claims for any coverage questions, reviews any denial of coverage for accuracy and acts as a liaison between insured and insurance company adjuster.
Serves as contact for Adjuster and Insured for claims related issues.
Refers coverage questions to Claims Manager.
Secures loss runs from carriers as requested. Prepares claims information for presentations as requested.
Resolves customer claim issues in coordination with Account Executives and Sales Executives in order to reduce E&O exposure.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or general education degree (GED); and a minimum of three months related experience and/or training; or equivalent combination of education and experience.
Ability to read and interpret documents such as insurance policies, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Ability to add, subtract, multiply, and divide, using whole numbers, common fractions, and decimals.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
To perform this job successfully, an individual should have knowledge of Agency management systems; Database software; Internet software; Spreadsheet software and Word Processing software.
Certifications or licenses
Valid Adjuster license where required; Property and Casualty Agent license encouraged.
Prior experience in claims or insurance.