Grinnell Mutual Reinsurance Company

  • CLAIMS ADJUSTER/SPECIALIST - FAST TRACK

    Job Locations US-IA-Grinnell
    Posted Date 3 weeks ago(7/30/2018 4:06 PM)
    Job ID
    2018-1382
    # of Openings
    1
    Category
    Direct Claims
  • Overview

    Investigates claims, negotiates settlements, and authorizes payments to customers for personal, casualty, and property loss or damages covered by GMRC policy to reach a fair and equitable settlement. Acts as company representative during the claims process providing service primarily via phone or e-mail.

    Responsibilities

    • Investigates the facts of assigned property and casualty claims to determine coverages, damages, and negligence in a timely and efficient manner as outlined in GMRC claims procedures.

     

    • Gathers supporting data including appraisals, interviews, police reports, and medical bills related to the claim utilizing telephone and written correspondence. Based on established procedures or in consultation with manager, determines whether to retain the claim or reassign it to an adjuster in the telephone claims unit or field.

     

    • Confers with manager proactively if settlement has potential to exceed authority limit. Provides recommendations and requests additional authority as appropriate.

     

    • Settles claims in a fair and equitable manner based on policy coverages and the information gathered during the investigation, without exceeding individual authority. Ensures that checks/drafts are issued in a timely manner to assist with efficiently closing claims.

     

    • Maintains a complete and well documented file in order to support the decisions and settlement of the claim.  

     

    • Operates in accordance with applicable individual state’s fair claim practices and regulations. Stays current with changing legislation, shares knowledge with co-workers and managers, and applies information as appropriate.

     

    • Performs other duties as assigned.

     

    Working conditions and physical efforts

     

    • To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.

     

    • The position is physically located in a cubicle setting within a typical office environment. The position requires an individual to sit for extensive periods while on the telephone or computer. The work may be stressful, due to high claims volume or when working with many types of individuals facing a personal loss.

    Qualifications

    • Associates degree from an accredited college or university; or equivalent combination of education and experience. AIC or SCLA designation preferred.

     

    • Ability to demonstrate good interpersonal, active listening and customer service skills to bring claim to a resolution in a timely manner following GMRC claims procedures. Includes being familiar with facts, patient, resistant to stress, persistent, empathetic, and decisive.

     

    • Ability to professionally present information and respond to questions in one-on-one or group settings. Communication may be via the telephone, in person, or in written correspondence.

     

    • Ability to think logically and make decisions regarding claim investigation using personal judgment, experience, and known facts and figures while following claims procedures to determine coverages, negligence, and damages.

     

     

    • Ability to organize work, determine priorities, and meet deadlines while incurring frequent interruptions. Claims volume is high and typically closes within 30-60 days.

     

     

    • Ability to read, analyze, interpret, and apply insurance terminology while reading/reviewing contracts, business periodicals, professional journals, technical procedures, and governmental regulations to daily work.

     

     

    • Ability to calculate figures and amounts such as interest, proportions, and percentages.

     

     

    • Ability to work harmoniously with co-employees including managers and interact with customers and the general public in a tactful and courteous manner.

     

    • Ability to maintain regular and predictable schedule to meet the needs of our customers and provide adequate coverage during our core business hours.

     

    • Ability to operate basic office equipment, including computers, utilizing specialized claims applications, and Microsoft Office Suite including Microsoft Outlook.

     

    This job description is not intended to describe, in detail, the multitude of tasks that may be assigned, but rather to give the employee a general sense of the responsibilities and expectations of his/her position. As the nature of the business demands change, so too may the job duties and responsibilities.

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