Claims Representative jobs at Vermont Mutual Insurance Group - 9 jobs
Claim Representative II - Casualty
Vermont Mutual Insurance 3.1
Claims representative job at Vermont Mutual Insurance Group
We welcome both local and remote applicants to apply: While there is a preference for candidates who can work in a hybrid capacity from our Montpelier, VT office, remote candidates located throughout the Northeast will also be fully considered.
JOB SUMMARY
Directly handle a technical claims caseload of a general liability claims. Caseload typically comprised of files arising from a broad range of coverage or perils and possessing a wide range of financial exposure and complexity. Such claims occasionally involve coverage issues or litigation. Employee should possess demonstrated expertise in handling bodily injury claims which involve both comparative negligence theories and defenses and be able to conclude claims promptly and equitably within the provisions of the policy contract and in accordance with known damages and legal requirements. Litigated files should constitute a minority of pending. All files handled must comply with claim file handling guidelines and all other job expectations, regulations and requirements.
DUTIES & RESPONSIBILITIES
Conduct and coordinate loss investigations on all assigned claims.
Negotiate the settlement of claims within authorized amounts or specific file authority.
Maintain accountability for all assigned claims until disposition is reached.
Recommend further action to supervisor on claims exceeding authority limits.
Document all substantive activity on assigned claims and assist in the control of independent vendors.
Review new losses and open files on diary to ensure reserve adequacy while keeping management informed of adverse developments.
Monitor loss adjustment expense and take steps to mitigate file expenses.
Utilize vendors judiciously to maximize value added.
Recognize coverage issues and work with supervisor and claim management for manner of redress/resolution.
Refer appropriate coverage matters to the Claim Supervisor or Claim Manager.
Ensure appropriate file handling, documentation, reporting and expense control of all files handled inclusive of legal bill review/vendor performance/bill review/MSP compliance
Provide accurate, courteous and timely information to all eligible external and internal customers concerning claim status and other claim inquiries.
Attend meetings with policyholders and agencies as needed.
Draft coverage correspondence in collaboration with Supervisor, including reservation of rights and coverage disclaimer along with composing detailed correspondence to insureds, claimants, attorneys, etc.
Attend trials, depositions, EUO's, appraisals and mediations where deemed beneficial or required.
Participate in various forms of Litigation training and as a mentee with an assigned Examiner Mentor for litigation and coverage advancement
Improve processes within the department to increase the level and quality of service provided to internal and external customers, i.e. workflow changes, systems implementation, etc.
Participate in setting file direction and recommend appropriate reserves on claim files within specific authority and on files requiring mandatory reporting to management.
This position handles an assigned claim pending.
Performs other duties or special projects as required or as assigned.
SUPERVISION RECEIVED
The Claim Supervisor provides direct minimal supervision.
SUPERVISION EXERCISED
Primarily no supervisory duties; however limited supervision of independent adjusters and vendors may occur.
QUALIFICATIONS
Bachelor's degree in business, insurance or a related field, or its equivalent
Three or more years of relevant claim technical experience; or a combination of education and experience from which comparable knowledge and skills are acquired.
Appropriate state adjuster's license(s) where required by law.
Demonstrated commitment to professional development through continuing education related to the job such as AIC, AEI, INS, SCLA CPCU, etc.
Established and improving skills in specialized technical disciplines; including working knowledge of relevant insurance, contract and tort law. Participation in training courses and mentorship program
Knowledgeable about the insurance industry and company operations.
Sound analytical, and negotiations skills.
Very good verbal and written communication skills.
Ability to exercise sound judgment in dealing with professional and personnel situations.
Ability to work effectively with a wide range of outside firms, etc.
Ability to collaborate effectively with company management, peers and support staff.
Demonstrated customer service orientation.
Proficiency with PC applications including Microsoft Office (Word, Excel & Outlook); Experience with imaging and claims handling programs preferred.
Ability to perform job duties under stressful situations.
PHYSICAL DEMANDS/WORKING CONDITIONS
Employees in this job classification may be based in a typical office or a remote location or residence as determined by management.
Predominately sedentary office position with high frequency of keyboarding/computer work required.
Occasional overnight travel required.
Potentially subject to stressful situations with respect to claim dispute.
May be exposed to adverse external conditions and inclement Weather.
The salary range reflected is a good faith estimate of base pay for the position. In addition to base salary, this role is incentive compensation and benefits eligible, and individual salary will ultimately be determined based on individual experience, skills, qualifications and geographic location.
$46k-61k yearly est. Auto-Apply 60d+ ago
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Senior Claim Representative - Auto
Vermont Mutual Insurance Group 3.1
Claims representative job at Vermont Mutual Insurance Group
Not just another job, but an opportunity to work for one of the best insurance companies in the country and reap the rewards that go along with that level of success. We're a 198 year old company that works hard not to act our age; as a result, we have been recognized as one of the "Best Places to Work in Vermont";. An open and collaborative environment, coupled with exceptional compensation and benefits help to make us one of the most attractive employment opportunities in the country.
We are seeking a claims professional to join our team of adjusters to assist insureds with automobile accidents ranging from physical damage to medical claims. The ideal candidate has excellent customer service skills, verbal and written communication, is organized, and detail oriented. An adjuster's license is preferred, but we are willing to train the right candidate.
If you have qualifications that you feel would allow you to contribute to the continued success of Vermont Mutual, we'd love to hear from you.
How to Apply:
Submit cover letter, salary requirements and resume, in strict confidence.
Apply Online
$61k-119k yearly est. 7d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Burlington, VT jobs
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$49k-61k yearly est. Auto-Apply 6d ago
Senior Professional Liability Claims (Attorney), Claims Construction
Zurich Na 4.8
Montpelier, VT jobs
129572 **Zurich North America is expanding its nationwide Construction Professional Liability Claims Team with the addition of a dedicated Claims Construction, Professional Liability Claims (Senior or AVP level).** This is a great opportunity In this highly technical, individual contributor role, the selected candidate will manage complex, litigated construction professional liability claims. These claims typically involve allegations of design errors, omissions, or other professional acts for which our construction clients may be legally responsible. The position offers autonomy and requires strong analytical, negotiation, and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states.
**Claims Handling & Investigation:**
+ Manage a portfolio of highly complex, litigated claims with significant exposures, requiring advanced technical expertise and strategic coordination.
+ Accurately update and document claim files in accordance with best practices, ensuring data integrity and compliance.
+ Verify coverage by analyzing policy language, determining applicability to the loss, and drafting clear, well-supported coverage position letters.
+ Conduct thorough investigations by collecting relevant documentation (e.g., contracts, recorded statements, expert reports) to assess coverage, liability, and damages.
**Resolution Strategy & Negotiation:**
+ Develop and implement effective claim resolution strategies, including case evaluations, issue escalation, and timely disposition planning.
+ Establish and maintain appropriate reserves throughout the claim lifecycle, ensuring alignment with exposure and developments.
+ Achieve favorable claim outcomes by exercising sound judgment, applying case-specific resolution strategies, leveraging available tools, negotiating effectively, and operating within established authority limits.
**Litigation & Legal Compliance:**
+ Oversee litigation by selecting counsel, reviewing litigation plans and budgets, coordinating defense efforts, and authorizing legal payments.
+ Ensure compliance with applicable state and federal laws, regulations, and internal controls throughout the claims process.
+ Identify and refer claims with subrogation or fraud potential to the appropriate internal teams for further investigation.
**Customer Service & Communication:**
+ Deliver exceptional customer service by proactively communicating with insureds, brokers, and other stakeholders.
+ Demonstrate empathy and professionalism in all interactions, actively listening to understand customer needs and concerns.
+ Partner with customers to achieve fair and timely outcomes, ensuring transparency and responsiveness throughout the claim process.
+ Provide timely updates and clear explanations of claim status, decisions, and next steps, fostering trust and confidence.
**Quality Assurance & Risk Reporting:**
+ Maintain high quality standards by producing accurate, timely work and ensuring thorough documentation in accordance with best practices.
+ Keep Claims and Business Unit leadership informed of significant risks, emerging exposures, and strategic claim insights.
+ Resolve issues by applying company policies, procedures, and standards to ensure consistency and quality outcomes.
+ Support profitable growth by sharing risk insights, trends, and data with internal stakeholders and customers as appropriate.
**Expertise, Mentorship & Continuous Learning:**
+ Maintain subject matter expertise and regulatory compliance by staying informed on insurance laws, industry developments, and best practices.
+ Mentor and support less experienced claims professionals, fostering technical growth and knowledge sharing.
+ Serve as a technical resource to internal teams and business partners, offering insights to enhance product design, underwriting, and policy language.
+ Escalate complex issues to senior colleagues when appropriate, promoting quality outcomes and continuous learning.
+ Invest in professional development through ongoing education, industry networking, and active participation in professional organizations.
**This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based upon the selected applicant's experience and skill set relative to the qualifications listed for this position.**
Basic Qualifications:
AVP Claims Professional:
+ Bachelors Degree and 8 or more years of experience in the Claims Technical area OR
+ Juris Doctor and 4 or more years of experience in the Claims and Litigation Management area.OR
+ High School Diploma or Equivalent and 10 or more years of experience in the Claims and/or Litigation Management area OR
+ Zurich Certified Insurance Apprentice, including an Associate Degree with 8 or more years of experience in the Claims and/or Litigation Management area AND
+ Must obtain and retain required adjuster license
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets, and products
OR
Senior Claims Professional:
+ Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND
+ Must obtain and maintain required adjuster license(s)
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets, and products
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The combined salary range for this position is $74,300.00 - $161,000.00. The proposed salary range for this position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%. The proposed salary range for this position is $98,300.00 - $161,000.00, with short-term incentive bonus eligibility set at 20%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]
**Why Zurich?**
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code ยง 1033.
**Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Schaumburg, AM - Atlanta, AM - Remote Work (US), AM - Overland Park, AM - Dallas, AM - Parsippany, AM - Addison, AM - Omaha, AM - Rocky Hill, AM - Maitland, AM - Owings Mills, AM - Woodland Hills
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-LC1 #LI-DIRECTOR #LI-HYBRID
EOE Disability / Veterans
$98.3k-161k yearly 51d ago
Crop Claims Seasonal Adjuster
Great American Insurance 4.7
Vermont jobs
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The D ivision is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S., the teams provide tremendous expertise in the specific needs of farmers and crops.
**********************************
Great American is currently seeking Seasonal Crop Adjusters. These positions are seasonal and may not be eligible for full-time or part-time benefits. Qualified candidates will cover territory in one of the following states:
Alabama
Arkansas
California
Colorado
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
South Dakota
Tennessee
Texas
Washington
Wisconsin
Wyoming
Schedule: Seasonal part-time. Hours fluctuate based on seasonal needs.
As a Crop Adjuster, you will:
Understand and can work claims for all major crops, policy/plan types, in all stages of growth.
Complete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company Crop insurance policies.
Review and evaluates coverage and/or liability.
Secure and analyze necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
Ensure compliant and cost effective application of Crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory requirements.
Accurately document, process and transmit loss information to determine potential.
Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary.
May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
Ensures that claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
Follow regulatory and company rules, policies, and procedures.
Performs other duties as assigned.
Physical Requirements for employees in the Crop Business Unit/Crop Claims General Adjuster
Requires continuous and prolonged walking and standing.
Requires frequent lifting, carrying, pushing and pulling of objects up to 50 lbs.
Requires frequent climbing grain bins, bending, twisting, stooping, kneeling and crawling.
Requires overhead reaching and grabbing.
Requires regular and predictable attendance.
Requires ability to conduct visual inspections.
Requires work outdoors, in inclement weather conditions.
Requires frequent travel.
May require ability to operate a motor vehicle.
Business Unit:
Crop
Salary Range:
$0.00 -$0.00
Benefits:
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
$49k-60k yearly est. Auto-Apply 56d ago
Senior Marine Claims Specialist-Hull
Zurich Na 4.8
Montpelier, VT jobs
130521 We are excited to share that Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred) to join our team! We are open to remote work for the right candidate located within the U.S..
In this role you will be responsible for:
+ Ability to handle dedicated accounts.
+ Frequent interaction with Assureds, Brokers and Underwriters.
+ Some travel may be required but this is not very frequent.
Basic Qualifications:
+ Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND
+ Must obtain and maintain required adjuster license(s)
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets, and products as well as maritime and admiralty practices.
Preferred Qualifications:
+ Extensive Marine Hull claims experience preferred.
+ Emphasis on Marine Liability, Hull, Blue water and brown water claims, Jones Act, General Average and Ocean Cargo Claims experience preferred.
+ Licensed in all states as needed required.
+ Effective verbal and written communication skills
+ Strong analytical, critical thinking and problem-solving skills
+ Strong multi-tasking and prioritization skills
+ Experience collaborating in a team environment and building cross functional working relationships
+ Proactively shares and promotes sharing of insights
+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.
+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims
+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
+ Ability to determine the scope and exposure for complex claims
+ Ability to leverage trend and relationships to provide high-quality customer service
+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]
**Why Zurich?**
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code ยง 1033.
**Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Texas Virtual Office, AM - Remote Work (US)
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-JJ1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
$75.8k-124.1k yearly 5d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Barre, VT jobs
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$49k-61k yearly est. Auto-Apply 6d ago
Claim Representative II - Casualty
Vermont Mutual 3.1
Claims representative job at Vermont Mutual Insurance Group
Job Description
We welcome both local and remote applicants to apply: While there is a preference for candidates who can work in a hybrid capacity from our Montpelier, VT office, remote candidates located throughout the Northeast will also be fully considered.
JOB SUMMARY
Directly handle a technical claims caseload of a general liability claims. Caseload typically comprised of files arising from a broad range of coverage or perils and possessing a wide range of financial exposure and complexity. Such claims occasionally involve coverage issues or litigation. Employee should possess demonstrated expertise in handling bodily injury claims which involve both comparative negligence theories and defenses and be able to conclude claims promptly and equitably within the provisions of the policy contract and in accordance with known damages and legal requirements. Litigated files should constitute a minority of pending. All files handled must comply with claim file handling guidelines and all other job expectations, regulations and requirements.
DUTIES & RESPONSIBILITIES
Conduct and coordinate loss investigations on all assigned claims.
Negotiate the settlement of claims within authorized amounts or specific file authority.
Maintain accountability for all assigned claims until disposition is reached.
Recommend further action to supervisor on claims exceeding authority limits.
Document all substantive activity on assigned claims and assist in the control of independent vendors.
Review new losses and open files on diary to ensure reserve adequacy while keeping management informed of adverse developments.
Monitor loss adjustment expense and take steps to mitigate file expenses.
Utilize vendors judiciously to maximize value added.
Recognize coverage issues and work with supervisor and claim management for manner of redress/resolution.
Refer appropriate coverage matters to the Claim Supervisor or Claim Manager.
Ensure appropriate file handling, documentation, reporting and expense control of all files handled inclusive of legal bill review/vendor performance/bill review/MSP compliance
Provide accurate, courteous and timely information to all eligible external and internal customers concerning claim status and other claim inquiries.
Attend meetings with policyholders and agencies as needed.
Draft coverage correspondence in collaboration with Supervisor, including reservation of rights and coverage disclaimer along with composing detailed correspondence to insureds, claimants, attorneys, etc.
Attend trials, depositions, EUO's, appraisals and mediations where deemed beneficial or required.
Participate in various forms of Litigation training and as a mentee with an assigned Examiner Mentor for litigation and coverage advancement
Improve processes within the department to increase the level and quality of service provided to internal and external customers, i.e. workflow changes, systems implementation, etc.
Participate in setting file direction and recommend appropriate reserves on claim files within specific authority and on files requiring mandatory reporting to management.
This position handles an assigned claim pending.
Performs other duties or special projects as required or as assigned.
SUPERVISION RECEIVED
The Claim Supervisor provides direct minimal supervision.
SUPERVISION EXERCISED
Primarily no supervisory duties; however limited supervision of independent adjusters and vendors may occur.
QUALIFICATIONS
Bachelor's degree in business, insurance or a related field, or its equivalent
Three or more years of relevant claim technical experience; or a combination of education and experience from which comparable knowledge and skills are acquired.
Appropriate state adjuster's license(s) where required by law.
Demonstrated commitment to professional development through continuing education related to the job such as AIC, AEI, INS, SCLA CPCU, etc.
Established and improving skills in specialized technical disciplines; including working knowledge of relevant insurance, contract and tort law. Participation in training courses and mentorship program
Knowledgeable about the insurance industry and company operations.
Sound analytical, and negotiations skills.
Very good verbal and written communication skills.
Ability to exercise sound judgment in dealing with professional and personnel situations.
Ability to work effectively with a wide range of outside firms, etc.
Ability to collaborate effectively with company management, peers and support staff.
Demonstrated customer service orientation.
Proficiency with PC applications including Microsoft Office (Word, Excel & Outlook); Experience with imaging and claims handling programs preferred.
Ability to perform job duties under stressful situations.
PHYSICAL DEMANDS/WORKING CONDITIONS
Employees in this job classification may be based in a typical office or a remote location or residence as determined by management.
Predominately sedentary office position with high frequency of keyboarding/computer work required.
Occasional overnight travel required.
Potentially subject to stressful situations with respect to claim dispute.
May be exposed to adverse external conditions and inclement Weather.
The salary range reflected is a good faith estimate of base pay for the position. In addition to base salary, this role is incentive compensation and benefits eligible, and individual salary will ultimately be determined based on individual experience, skills, qualifications and geographic location.
$46k-61k yearly est. 13d ago
Senior Claim Representative - Auto
Vermont Mutual Insurance 3.1
Claims representative job at Vermont Mutual Insurance Group
Directly handle a diverse claims caseload including multiple coverage feature types and a large percentage of losses of moderate to high complexity and financial severity. Claims assigned occasionally involve substantive coverage issues or litigation. Employee should possess demonstrated expertise in handling significant bodily injury claims which involve both comparative negligence theories and defenses, and/or confidently capable of writing sizable detailed building estimates (including commercial) and handling complicated business interruption claims. Employee should be highly skilled in all coverage's written with an emphasis on the more difficult losses and exposures, and be capable of seeing more difficult adjustments through final resolution using a wide variety of settlement techniques. Conclude claims promptly and equitably within the provisions of the policy contract and in accordance with known damages and legal requirements. All files handled must comply with claim handling guidelines and all other job expectations, regulations and requirements.
DUTIES & RESPONSIBILITIES
Conduct and coordinate loss investigations on all assigned claims.
Negotiate the settlement of claims within authorized amounts or specific file authority.
Maintain accountability for all assigned claims until disposition is reached.
Recommend further action on claims exceeding authority limits.
Document all activity on assigned claims and assist in the control of independent vendors.
Review new losses and files on diary to ensure reserve adequacy while keeping management informed of adverse developments.
Monitor loss adjustment expenses and take steps to effectively manage costs of third party service providers.
Utilize vendors judiciously to ensure maximum value from services.
Review coverage questions and suggest interpretations to Claim Staff Supervisor for approval.
Refer appropriate coverage matters to the Claim Supervisor and/or Claim Manager.
Ensure appropriate file handling, documentation, special reporting and expense control of all files handled.
Provide accurate, courteous and timely information to all eligible external and internal customers concerning claim status and other claim inquiries.
Presents reports and leads discussion on files requiring roundtable reviews with peers and management
Provide service calls to policyholders and agencies as needed.
Serve as a technical resource within the Department through mentoring and knowledge sharing.
Draft coverage correspondence, including reservation of rights and coverage disclaimer along with composing detailed correspondence to insureds, claimants, attorneys, etc.
Attend trials, depositions, EUO's and mediations where deemed beneficial or required by jurisdiction.
Suggest improvements to processes within the department to increase the level and quality of service provided to internal and external customers, e.g. workflow changes, systems implementation, etc.
Effectively follow direction on complicated or high-exposure matters and recommend appropriate reserves on claim files within specific authority and on files requiring mandatory reporting to management.
Deliver technical training for adjusting staff and clerical personnel as needed.
This position handles an assigned claim pending.
Performs other duties or special projects as required or as assigned.
SUPERVISION RECEIVED
The Claim Supervisor provides minimal direct supervision.
SUPERVISION EXERCISED
This job primarily has no supervisory duties; however moderate supervision of independent adjusters, vendors and claim support staff may occur.
QUALIFICATIONS
Bachelor's degree in business, insurance or a related field, or its equivalent.
Five or more years of relevant technical claim handling experience with demonstrated achievement and progressive responsibilities; or a combination of education and experience from which comparable knowledge and skills are acquired.
Appropriate state Adjuster's License(s) where required by law.
For field based positions, previous outside experience is preferred and valid driver's license is required.
Advanced knowledge of the technical aspects of property and/or casualty claims (including automobile, general liability, subrogation and litigation).
Demonstrated commitment to professional development through the attainment of recognized industry designations such as AIC, AEI, SCLA, CPCU programs, etc.
Fully developed skills in specialized technical disciplines; including extensive knowledge of relevant contract and tort law.
Sound understanding of the insurance industry and company operations.
Strong analytical and negotiating skills.
Very good oral and written communication skills.
Demonstrated ability to exercise sound judgment in dealing with professional issues.
Demonstrated ability to work effectively with a wide range of outside firms and organizations.
Demonstrated ability to collaborate effectively with company management, peers and claim support staff.
Proficiency with PC applications including Microsoft Office (Word, Excel & Outlook); Experience with imaging programs preferred.
Ability to perform job responsibilities under stressful situations.
PHYSICAL DEMANDS/WORKING CONDITIONS
Employees in this job classification may be based in either a typical office environment or from a remote location or residence as determined by management.
For field based positions, regular outside automobile day travel of approximately 50% is expected.
For non-field positions, predominately sedentary office position with high frequency of keyboarding/computer work required.
Occasional overnight travel.
Potentially subject to inclement weather and stressful situations with respect to claim disputes.
$61k-119k yearly est. Auto-Apply 7d ago
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