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For your reference, we have included the original job posting below.
Claims Representative 1
Job Number:
26636178
Company Name:
Esurance
Job Location:
Tampa, FL US
Job Category:
Insurance
Claims Representative 1
Claims Representative 1
Location: US-FL-Tampa Job ID: 3566
Posted Date: 8/17/2010
Apply for this job:
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Overview:
Investigates and handles to conclusion first and third party claims involving coverage and liability determination. Obtains information regarding the parties involved and the facts of loss
Responsibilities:
* Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using guidelines established by the company. * Identifies exposures and refers files or features to management for triage. * Monitors and completes necessary tasks at various stages of the claims process to ensure prompt service to the customers. * Uses Esurance systems to properly document files and process claims. * Conducts investigations to determine coverage for claims of minor to moderate complexity where first call bodily injury settlements are needed. * Uses Liability Advisor as a tool to evaluate facts of loss and impact on liability * Properly document files to include all key activities, contacts made, statements taken, including a full outline covering all aspects of the claim and what is needed for resolution * Reviews, evaluates, and negotiates first call injury settlement claims for injuries requiring minimal treatment up to $1500. * Understands and processes medical payment bills. * Promptly identifies and transfers total loss features to the Total Loss Unit for handling. * Identifies referrals, completes proper summaries and forwards files to subrogation for collection in a timely manner
Qualifications:
* Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently. * Demonstrated ability to manage relationships with both internal and external customers. * Demonstrated ability to work effectively independently and within a collaborative team oriented environment using sound judgment in decision-making. * Excellent communication skills both oral and written. * Strong analytical, problem solving skills, and excellent customer service negotiation skills. * Demonstrated proficiency with Microsoft Office products (Outlook, Excel, PowerPoint, and Word) and claims related software programs. * Demonstrated basic knowledge of medical treatments and understanding of low impact injury claims * Bachelor’s degree in Business Administration, a related field, and/or equivalent education required. * Six months or more auto claims handling experience required ~CB~
