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Senior Claims Representative - Non Standard Auto Property Damage (remote/hybrid)

Company: Utica National Insurance Group
Location: Des Plaines
Posted on: June 22, 2022

Job Description:

If you seek a truly outstanding employment experience, Founders Insurance Company, a division of Utica National Insurance Group, is the place for you. We are always looking for conscientious, customer-oriented people - whether you're a seasoned insurance professional or just starting out. We offer a supportive and friendly work environment that features a variety of career paths.

We offer challenging assignments, advancement opportunities, full benefits packages, competitive salaries, and a great work environment. And, we're big enough to offer the opportunities you need to be successful, but not so big that you'll get lost in the crowd.

Are you up for the challenge? Take a few minutes to look at our job openings to explore the possibilities - then find one that's right for you and apply online today.

Depending on candidate location, this position does have the ability to be hybrid or remote.

Essential Functions:

* Receive and initiate timely reviews of new assignments and then analyze policies, endorsements, and circumstances reported to determine what coverages, if any, apply to a particular claim/accident.
* Immediately issue an appropriate reservation of rights letter for any and all coverage issues.
* Communicate directly with insureds, claimants, witnesses, doctors, attorneys, body shops, and others by telephone, through written correspondence, and occasionally in person.
* Conduct prompt investigations by securing recorded statements from insureds, claimants, and witnesses and obtaining police reports or any other documentation pertinent to the investigation.
* Obtain and verify damages including, but not limited to obtaining copies of repair estimates; medical bills; medical records, and photographs.
* Review, interpret, and evaluate all information to ascertain the proper amount of damages for any type of claim/exposure. This includes interpreting/understanding medical terminology and analyzing the condition or injury.
* Adjust, negotiate, and settle claims for proper amounts within authorization or as directed by your manager; secure releases then issue settlement drafts or deny unjustified claims as soon as practical (authorization from manager on all questionable matters, on all settlements exceeding adjuster's authorization, and on all claims prior to denial).
* Maintain strict diary on all active files. Fully document all activity on open or closed claims using the appropriate system. This includes a record of all contact, investigation, negotiations and documentary evidence.
* Properly identify subrogation opportunities, and mail appropriate letters associated with the intent to pursue recovery from an at-fault party.
* Recognize suspicious claims, and elevate to the Special Investigations Unit for further handling.
* Adhere to the Rules and Regulations set forth by the Department of Insurance, state specific.
* At the Unit Managers direction, monitor existing non-litigated inventory to ensure Claims Representatives are adhering to the Rules and Regulations set forth by the Department of Insurance. Further, audit claim files to identify trends, settlement opportunities, and that closure guidelines are being followed.
* Ongoing mentoring to existing claim staff, including Claim Service Representatives and Claim Representatives. At the Unit Manager's direction, provide settlement authority to Claim Representatives.

Experience: At least 2 years of relevant claims handling experience.

Education: Associate degree, or equivalent work experience is required. Insurance and Management related courses helpful.


We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

* 401K plan
* Medical coverage
* Dental coverage
* Flexible spending accounts
* Vision care coverage
* Paid Time-Off (PTO)
* Paid Holidays
* Paid Volunteer Day
* Pay-for-Performance
* Employee and Dependent life insurance
* Disability insurance
* Accidental death & dismemberment insurance
* Discounts on automobile and homeowner's insurance
* Tuition reimbursement
* Employee Assistance Program (EAP)
* Credit Union membership
* Employees' Club


We offer both full and part time employment with the goal of providing work life balance to our talented workforce.

This is an exempt position. By applying for this position, you acknowledge that as an exempt employee, you should expect to find it necessary to work beyond your regular work schedule in order to fulfill the demands of the position. As such, in accepting our offer, you acknowledge and agree to fulfill this expectation.

As part of our hiring process, candidates must also pass a comprehensive background check and drug screen, additional screening for credit or MVR may be required for some positions.

Utica National is an Equal Opportunity Employer.

Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Management Group will be in touch if you are moving forward. Candidates must meet company requirements on our online assessment test.

Keywords: Utica National Insurance Group, Des Plaines , Senior Claims Representative - Non Standard Auto Property Damage (remote/hybrid), Other , Des Plaines, Illinois

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