Claims Representative
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Claims Representative at Mercury Insurance investigating and resolving auto and property damage claims. Providing exceptional customer service in a team environment with a high volume of calls.
Responsibilities:
- Investigating and resolving auto physical damage and property damage claims in a timely and efficient manner
- Providing exceptional customer service in a team environment
- Handling a high volume of calls and making regular contact with customers on multiple platforms
- Collaborating cohesively with other team members to achieve department goals
- Thoroughly verifying and explaining coverage to Policyholders, setting clear expectations on the claims process
- Setting reserves for anticipated losses, arranging vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted
- Serving as the primary customer contact and coordinating with other departments; researching and timely responding to customer inquiries and/or concerns with empathy to ensure customer satisfaction and retention
- Demonstrating the ability to resolve claims in a timely and accurate manner
- Continuously monitoring progress and exposures, issuing accurate and timely payments
- Investigating and evaluating claims by conducting interviews, reviewing documentation, and gathering evidence
- Documenting interactions, conversations, and activities related to claims in a clear and concise manner using company systems and tools
- Identifying and escalating files with more significant indemnity exposure or attorney representation to their supervisor for review, transfer, or further investigation
Requirements:
- High School Diploma or GED
- You may be required to obtain a Company sponsored Adjuster’s license to handle claims, to be secured upon hire
- Customer service experience required
- 6-12 months of related experience preferred
- Experience with handling high call volume in a professional call center preferred
- Solid comprehension of basic principles and practices of Company policies upon completion of a formal and informal training program
- Ability to multi-task in a fast-paced environment, prioritize responsibilities, and deliver accurate work-product to expedite claims resolution and manage a high volume of claims
- Has a passion for serving customers in their time of need
- Possesses effective written and verbal communication skills to professionally represent the Company in multi-channel correspondence with Policyholders, agents, claimants, and other insurance carriers
- Independently makes high-quality claims adjusting decisions
- Collaborates well with others
- Ability to build rapport utilizing emotional intelligence
- Views conflict resolution as an opportunity
- Has self-motivation and accountability while working remotely
- Demonstrated proficiency with MS Office products (Outlook, Word) and claims related software
- Must have dedicated workspace that is free from distractions
- Demonstrates intellectual curiosity by seeking out efficiencies through process improvement or technology preferred
- Takes ownership of any process they can improve
- Assumes positive intent in all interactions
- Seeks growth within and beyond this role
Benefits:
- Competitive compensation
- Flexibility to work from anywhere in the United States for most positions
- Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours)
- Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
- Medical, dental, vision, life, and pet insurance
- 401 (k) retirement savings plan with company match
- Engaging work environment
- Promotional opportunities
- Education assistance
- Professional and personal development opportunities
- Company recognition program
- Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more
Similar Jobs
Claims Specialist I – Provider Claims
Claims Specialist at IEHP responsible for evaluating provider claims and resolving disputes. Ensuring compliance with standards while issuing resolutions and adjustments in claims processing.
Claims Adjuster – Commercial Auto Excess Casualty
Claims Adjuster managing high-severity commercial auto liability claims with cutting-edge AI tools. Collaborating with insurers and internal teams to drive optimal outcomes and enhance claims efficiency.
APD Claims Adjuster, Rideshare
Claims Adjuster managing rideshare auto physical damage claims at an insurtech company. Handling high-volume claims with a focus on customer service and process refinement.
Workers Compensation Claims Analyst
Workers Compensation Claims Analyst handling medical only claims and limited lost time claims for Advocate Health. Collaborating with case managers, attorneys, and vendors while adhering to regulatory compliance requirements.
Claims Processor
Claims Processor overseeing medical records and wellness claims adjudication for Fetch pet insurance. Organizing documentation and providing administrative support for the Specialty Claims team.
Liability Claims Associate, NY or HI Licensing Required
Analyze lower-level liability claims within Sedgwick’s standards. Collaborate to determine benefits due while maintaining professional client relationships.
Claims Examiner – Workers Compensation, AZ, CO, UT Jurisdictions
Claims Examiner adjudicating complex customer claims at industry-leading risk and claims administration partner Sedgwick. Applying workers compensation examiner knowledge to deliver innovative solutions and exceptional client service.
Claims Examiner
Claims Examiner reviewing and processing death claims for OSGLI. Managing pending claims and corresponding with various parties throughout the claims process.
Claims Examiner
Claims Examiner at Thrivent examining claims for eligibility and ensuring compliance with regulatory standards. Collaborating with peers and providing support to Associate Claims Examiners in claim decisions.
Claims Examiner II
Claims Examiner II at NICO investigating property damage and bodily injury claims under insurance contracts. Ensuring compliance with claims handling laws and collaborating with legal departments as necessary.
Claims Examiner II
Claims Examiner assessing property damage and bodily injury claims under insurance contracts. Investigating, evaluating, and negotiating claims within established authority in a company with significant financial strength.
Claims Adjuster
Claims Adjuster managing property claims using data and empathy for Kin's insurance clients. Driving customer satisfaction and resolution in a remote-first environment.
Bilingual Claims Specialist
Claims Specialist responsible for processing claims and invoicing for Veterans Affairs Canada. Role demands accuracy, confidentiality, and responsiveness in claim issue resolution.
Bodily Injury Claims Adjuster, Rideshare
Rideshare Claims Adjuster managing bodily injury claims for rideshare incidents. Collaborating with stakeholders to deliver compliant claim resolutions while assessing liability and negotiating settlements.
Claims Specialist – PACE
Claims Specialist processing and adjudicating PACE medical claims while collaborating with vendors and internal teams. Ensuring compliance with CMS and PACE policies in a remote setting.
Claims Specialist
Claims Specialist handling health care claims processing at PrudentRx. Ensure accurate data processing and monitor claims for discrepancies in a remote work environment.
Auto Property Damage Claims Adjuster
Claims Adjuster at insurtech Reserv automating claims processes with a focus on technology-driven solutions. Addressing customer needs through effective claims management and coordination.
GL Claims Adjuster III
Claims Adjuster managing a caseload of General Liability Claims in multiple states for Allianz Reinsurance. Requires 5+ years of litigation experience and Florida Adjusting license.
Pollution Claims Adjuster III
Claims Specialist III managing complex Pollution and Environmental liability claims for Allianz Reinsurance. Role requires analytical skills and expertise in insurance coverage interpretation.
Claims Adjuster III
Claims Specialist III managing complex asbestos accounts for Allianz Reinsurance. Timely management of claims and evaluation of asbestos cases with a strong focus on compliance and litigation strategy.