Claims Service Representative

CLAIMS SERVICE REPRESENTATIVE The Claims Service Representative provides clerical, administrative, and claims support to the Property & Liability Department through interaction with adjusters, customers, vendors, and claimants.

RESPONSIBILITIES

AND DUTIES Timely and accurate capture of New Claims into the Appian System as assigned. Query ISO Services on all new claims and save prior injury claims history to claim file. Process claims information into the claims system. Is often the first point of contact for the Member, so superior customer service is a must!

Represent the Company from a public relations standpoint and must conduct oneself appropriately at all times. Attend required or necessary training sessions to maintain up-to-date knowledge & skills. Assist adjusters in claim follow-up tasks, as assigned. Establish and maintain customer relationships through courteous and efficient service of customer requests.

Answer phones and provide superior service to the callers; assist at the front desk phones. Timely and accurately saves imaged mail into the claim file; with proper labeling of documents. Scan incoming mail, as scheduled. Compile information and outgoing mail correspondence as requested. Perform other duties as required.

KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of standard office procedures and equipment. Knowledge of insurance terminology. Must possess excellent communication skills and exchange information with others clearly and concisely. Skill in typing at least 35 WPM and proficiency in operating a computer. Ability to accurately compare and verify information.

Ability to communicate effectively with various personalities, both orally and in writing. Ability to establish and maintain effective working relationships with Department heads, managers, employees and vendors. Ability to manage and prioritize multiple tasks. Ability to maintain composure under stressful conditions and when dealing with a variety of personalities.

TRAINING AND EXPERIENCE High school diploma or GED with one to three years of experience within an insurance claims environment involving interaction with claims adjusters. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. PLEASE DO NOT APPLY IF YOU ARE A SMOKER