Claim Represenative/ Specialist Job in Saginaw, Michigan US
CLAIM REPRESENTATIVEMEEMIC, SAGINAW COUNTY INDEPENDENTLY PERFORMS DETAILED AND HIGHLY COMPLEX CLAIM FUNCTIONS BOTH AT THE OFFICE AND AT OFF-SITE LOCATIONS.
REVIEWS FILES, OBTAINS COVERAGE INFORMATION AND CONTACTS INSURED TO DISCUSS CLAIM PROCESS, ETC. EXPLAINS LAWS/REGULATIONS REGARDING VEHICLE REPAIR.
PERFORMS PHYSICAL DAMAGE INSPECTIONS AS REQUIRED.
ARRANGES FOR VEHICLE INSPECTIONS.
INSPECTS PROPERTY AND PREPARES ESTIMATE OR WORKS WITH DIRECT REPAIR FACILITIES TO OBTAIN NECESSARY INFORMATION.
ANALYZES DAMAGE AND DETERMINES WHETHER TO REPAIR OR REPLACE DAMAGED PARTS.
DETERMINES VALUE OF VEHICLE IN ORDER TO SETTLE CLAIM.
TRAVELS TO AUTO SALVAGE YARD AND INSPECTS VEHICLES.
NOTIFIES INSURED OF TOTAL LOSS AND ADVISES REGARDING PROCEDURES.
AUTHORIZES REPAIRS AND UPDATES CLAIM DIARY.
REVIEWS THE STATUS OF OPEN AND CLOSED RESERVES AND MAKES ADJUSTMENTS CONSISTENT WITH EXPOSURES.
MAY CONDUCT AUDITS OF DIRECT REPAIR FACILITY INSPECTIONS TO ENSURE ACCURACY OF ESTIMATES AND ADHERENCE TO CORPORATE PROCEDURES.
REVIEWS FILES FOR POTENTIAL SUBROGATION.
MAY REPRESENT COMPANY AT TRIALS, DEPOSITIONS AND SETTLEMENT HEARINGS.
ASSISTS LESS EXPERIENCED CLAIM REPRESENTATIVES WITH CLAIMS THAT ARE MORE COMPLICATED AND COMPLEX.
COMMUNICATES WITH DIRECT REPAIR SHOPS (DRS) IN ORDER TO PROVIDE/UPDATE CLAIM INFORMATION.
CONDUCTS RE-INSPECTIONS AS NECESSARY TO INVESTIGATE AND EVALUATE DRS REQUESTS FOR ADDITIONAL REPAIRS, AND TO EVALUATE THE QUALITY OF SERVICE PROVIDED.
PROVIDES AFTER-HOUR COVERAGE TO PROCESS CLAIMS ON A ROTATING BASIS.
POSITION WILL ULTIMATELY BE REQUIRED TO HANDLE BOTH AUTO AND HOMEOWNER CLAIMS.
TERRITORY IS SAGINAW COUNTY.
HOME-BASED OFFICE.
REQUIRED
1. CANDIDATES MUST BE ELIGIBLE TO ACQUIRE AND MAINTAIN A STATE ADJUSTERS LICENSE FOR APPROPRIATE STATE(S).
2. EXPERIENCE AS A CLAIM REPRESENTATIVE, A PUBLIC OR PRIVATE INVESTIGATOR, OR EQUIVALENT OR A MINIMUM OF ONE YEAR EXPERIENCE AS A CLAIM ASSOCIATE WITHIN IDENTIFIED AREA (EG CASUALTY, AUTO PHYSICAL DAMAGE, HOMEOWNERS).
EXPERIENCE IN THE INVESTIGATION, EVALUATION AND SETTLEMENT OF CLAIMS TO INCLUDE
3. AUTO NO-FAULT CLAIMS INCLUDING AUTOMOBILE MARKET EVALUATIONS AND THE PREPARATION OF AUTO REPAIR ESTIMATES EXPERIENCE TO INCLUDE :4.
INSPECTING AND EVALUATING AUTO REPAIRS FOR QUALITY AND COMPLIANCE WITH ESTIMATES5.
AUTO MARKET EVALUATIONS6.
PREPARING MANUAL AND ELECTRONIC AUTO REPAIR ESTIMATES INVESTIGATION EXPERIENCE TO INCLUDE
7. SECURING AND EVALUATING EVIDENCE8.
DETERMINING THE EXISTENCE OF POSSIBLE CRIMINAL ACTIONS KNOWLEDGE TO INCLUDE
9. NEGLIGENCE LAW10.
NO-FAULT LAW DEMONSTRATED SKILL IN
11. ORGANIZATION AND PLANNING12.
ANALYZING AND PROBLEM SOLVING13.
WRITTEN COMMUNICATIONS TO INCLUDE RECORD KEEPING AND REPORT PREPARATION ABILITY TO
14. USE AUTOMATED PROCESSING AND COMPUTER SYSTEMS, INCLUDING BASIC PC SOFTWARE SKILLS15.
EFFECTIVELY RESPOND TO QUESTIONS/CONCERNS16.
COMMUNICATE EFFECTIVELY WITH OTHERS IN A WORK ENVIRONMENT, WITH THE PUBLIC, LAW ENFORCEMENT PERSONNEL AND VENDORS17.
SAFELY OPERATE A MOTOR VEHICLE IN ORDER TO VISIT REPAIR FACILITIES, HOMES (FOR INSPECTIONS), PATIENTS, ETC[^%dot%^
18. WILLINGNESS TO TRAVEL OUTSIDE OF ASSIGNED TERRITORY WHICH MAY INVOLVE OVERNIGHT STAY.
19. WILLINGNESS TO RELOCATE, WORK EVENINGS OR SATURDAYS.
20. VALID STATE DRIVER'S LICENSE.
PREFERRED
21. ASSOCIATE'S DEGREE IN BUSINESS ADMINISTRATION, INSURANCE OR A RELATED FIELD OR THE EQUIVALENT IN RELATED WORK EXPERIENCE.
22. COMPLETION OF THE INSURANCE INSTITUTE OF AMERICA'S: GENERAL INSURANCE PROGRAM, ASSOCIATE IN CLAIMS, ASSOCIATE IN MANAGEMENT OR EQUIVALENT.
23. CPCU COURSEWORK OR DESIGNATION.
24. I-CAR TRAINING.
25. ELECTRONIC ESTIMATING TRAINING.
EXPERIENCE TO INCLUDE
26. ANALYZING AND PROBLEM SOLVING27.
ORGANIZATION AND PLANNING28.
DECISION MAKIN
29. BASIC PC SOFTWARE SKILLS (WORD, EXCEL ETC.) ------------------------------------------------------OR------------------------------------------------- CLAIM SPECIALISTMEEMIC, SAGINAW COUNTY INDEPENDENTLY PERFORMS DETAILED AND HIGHLY COMPLEX CLAIM INVESTIGATIONS/PROCESSING OR THOSE OF A HIGHER DOLLAR VALUE AT BOTH INTERNAL AND OFF-SITE LOCATIONS REGARDING THE SPECIALIZED FIELD ASSIGNED.
EXAMINES POLICIES TO DETERMINE THE STATUS, EXTENT, TYPE OF COVERAGE AND NEED FOR ADDITIONAL INFORMATION.
OBTAINS NECESSARY ACCIDENT, LEGAL, EXPERT OPINION AND POLICE REPORTS TO COMPLETE FILES.
DETERMINES THE TYPE AND EXTENT OF LOSS AND ENSURES THE CLAIM IS CONSISTENT WITH ALL REPORTED FACTS.
DETERMINES VALIDITY OF CLAIM AND PREPARES A WRITTEN SUMMARY OF FINDINGS.
CONDUCTS INVESTIGATIONS, DEFINES APPROPRIATE EVIDENCE AND OBTAINS SUPPORTIVE DOCUMENTATION.
EVALUATE AND MAINTAIN ADEQUATE RESERVES AND ADVISE RE-INSURERS AND FINANCE OF RECOMMENDATIONS.
REVIEWS ASSIGNED CLAIM FILES ON DIARY AND CHECKS FOR PROGRESS TOWARD COMPLETION OF SETTLEMENTS.
DETERMINES IF THERE IS A NEED FOR FURTHER INVESTIGATION.
EVALUATES, NEGOTIATES, RESPONDS TO INQUIRIES AND SETTLES CLAIMS.
PROVIDES GUIDANCE AND TECHNICAL SUPPORT TO STAFF MEMBERS REGARDING SPECIALIZED DISCIPLINE.
PARTICIPATES IN TRAINING CLAIMS PERSONNEL WITH RESPECT TO SPECIFIC ASSIGNED DISCIPLINES.
ASSISTS IN MONITORING CLAIMS ACTIVITY AS IT RELATES TO EXPERTISE.
REVIEWS THE STATUS OF OPEN AND CLOSED RESERVES AND MAKES ADJUSTMENTS CONSISTENT WITH EXPOSURES.
CONDUCTS RE-INSPECTIONS AS NECESSARY.
PERFORMS DUTIES CHARACTERISTIC OF A CLAIM REPRESENTATIVE AND IN ADDITION ASSISTS MANAGER IN ACTIVITIES SUCH AS INTERNAL CONTROL REVIEWS, SPECIAL PROJECTS, EXTERNAL FRAUD INVESTIGATIONS, AND OTHER RELATED AREAS SPECIFIC TO CLAIM OPERATIONS.
ASSISTS MANAGEMENT IN OVERSIGHT ACTIVITIES OF CLAIMS OPERATIONS, SUCH AS INTERNAL CONTROL REVIEWS, LIMITED WORK PRODUCT REVIEWS, PROCESSING ISSUES AND RELATED FUNCTIONS.
ASSISTS IN THE REVIEW OF EXCESS TOLERANCE REPORTS AND CHECK REGISTERS TO ENSURE COMPLIANCE WITH CORPORATE POLICIES AND PROCEDURES.
SUMMARIZES AND COMMUNICATES RESULTS TO MANAGEMENT.
PREPARES AND/OR PARTICIPATES IN THE PREPARATION OF VARIOUS PERFORMANCE REPORTS IN REGARDS TO SPECIALIZED PROJECTS OR PROGRAMS WITHIN THE ASSIGNED AREA.
PERIODICALLY REVIEWS ACTUAL SERVICES RENDERED TO ENSURE CUSTOMERS RECEIVE THE TYPE AND QUALITY OF WORK AUTHORIZED.
POSITION WILL ULTIMATELY BE REQUIRED TO HANDLE BOTH AUTO AND HOMEOWNER CLAIMS.
TERRITORY IS SAGINAW COUNTY.
HOME-BASED OFFICE.
REQUIRED
1. ASSOCIATE'S DEGREE IN BUSINESS ADMINISTRATION, INSURANCE OR A RELATED FIELD OR EQUIVALENT WORK EXPERIENCE.
BACHELOR'S DEGREE PREFERRED.
2. CANDIDATES MUST BE ELIGIBLE TO ACQUIRE AND MAINTAIN A STATE ADJUSTERS LICENSE FOR APPROPRIATE STATE(S).
3. POSSESSION OF A VALID STATE DRIVER'S LICENSE.
COMPLETION/POSSESSION OF ONE OR MORE OF THE FOLLOWING
4. CLAIM REPRESENTATIVE TRAINING PROGRAM, INCLUDING THE BASIC BUILDING DAMAGE SCHOOL5 POSSESSION OF OR ABILITY TO OBTAIN A BUILDER'S LICENSE WITHIN THE FIRST SIX MONTHS OF EMPLOYMENT IN POSITIO
6. EXTENSIVE EXPERIENCE AS A CLAIM REPRESENTATIVE, A PUBLIC OR PRIVATE INVESTIGATOR OR EQUIVALENT.
EXPERIENCE IN THE INVESTIGATION, EVALUATION AND SETTLEMENT OF ONE OR MORE OF THE FOLLOWING
7. AUTO NO-FAULT CLAIMS INCLUDING AUTOMOBILE MARKET EVALUATIONS AND THE PREPARATION OF AUTO REPAIR ESTIMATES8.
HOMEOWNER PROPERTY CLAIMS, INCLUDING ACCURATELY PREPARING CONSTRUCTION DAMAGE ESTIMATES AND ADJUSTING PROPERTY DAMAGE9.
EVALUATING CONSTRUCTION REPAIRS FOR QUALITY AND COMPLIANCE WITH REPAIR ESTIMATES10.
INSPECTING AND EVALUATING AUTO REPAIRS FOR QUALITY AND COMPLIANCE WITH ESTIMATES11.
INSPECTING AND EVALUATING CONSTRUCTION REPAIRS FOR QUALITY AND COMPLIANCE WITH REPAIR ESTIMATES KNOWLEDGE OF ONE OR MORE OF THE FOLLOWING
12. COMPANY CLAIM POLICIES AND PROCEDURES13.
NEGLIGENCE LA
14. NO-FAULT LAW IN MICHIGAN15.
ESSENTIAL INSURANCE ACT AS IT PERTAINS TO CLAIM HANDLIN
16. THE FAIR TRADE PRACTICES ACT AS RELATED TO CLAIMS17.
CRIMINAL LAW18.
COURT PROCEDURES19.
HOMEOWNERS' COVERAGE20.
PROPERTY PROVISIONS21.
CONCEPTS AND PRINCIPLES OF PROPERTY CLAIMS22.
AUTO, HOME POLICY AND NO-FAULT STATUTE
23. FRAUD AND ARSON INDICATORS RELATIVE TO AUTO PROPERTY, HOME PROPERTY AND/OR BODILY INJURY CLAIMS24.
VEHICLE CONSTRUCTION, IDENTIFICATION, ARSON CAUSE AND ORIGINS AND/OR LOCKING SYSTEMS25.
BUILDING CONSTRUCTION DEMONSTRATED SKILL IN
26. ORGANIZATION AND PLANNING27.
ANALYZING AND PROBLEM SOLVING28.
DECISION MAKING ABILITY TO PERFORM ONE OR MORE OF THE FOLLOWING
29. COMMUNICATE EFFECTIVELY WITH OTHERS IN A WORK ENVIRONMENT AND WITH THE PUBLIC (EG POLICE DEPARTMENT, VENDORS, CONTRACTORS, ATTORNEYS)30.
PROVIDE GUIDANCE AND TRAINING TO CLAIMS PERSONNEL IN THE RESOLUTION OF CLAIMS31.
INVESTIGATE CLAIMS, DEFINE APPROPRIATE EVIDENCE AND OBTAIN SUPPORTIVE DOCUMENTATION32.
ESTIMATE DAMAGE AND DETERMINE SETTLEMENT VALUE OF PROPERTY DAMAGE CLAIMS33.
DEVELOP COST REDUCTION AND/OR COST CONTAINMENT MEASURES WITH RESPECT TO OPERATING EXPENSES AND PAID CLAIMS34.
EVALUATE, NEGOTIATE, RESPOND TO INQUIRIES AND SETTLE CLAIMS35.
FUNCTION EFFECTIVELY AND INDEPENDENTLY IN A PERSONAL COMPUTER ENVIRONMENT UTILIZING WORD PROCESSING, SPREADSHEET AND EXTERNAL SOFTWARE SYSTEMS36.
PRESENT EFFECTIVE AND PERSUASIVE TESTIMONY IN CIVIL AND CRIMINAL LITIGATION ON A REGULAR BASIS37.
COORDINATE THE REPAIR OF PROPERTY AT OUT-STATE LOCATIONS38.
WORK IRREGULAR HOURS AND RESPOND TO EMERGENCIES ON A TWENTY-FOUR PER DAY BASIS TO SERVICE CUSTOMERS39.
PREPARE AND PRESENT ACTIVITY AND STATISTICAL REPORTS40.
COORDINATE AND CONTROL MAJOR PROJECTS41.
SAFELY OPERATE A MOTOR VEHICLE IN ORDER TO PERFORM CLAIM INSPECTIONS/RESOLUTION
42. WRITTEN COMMUNICATION SKILLS.
(A WRITTEN SAMPLE MAY BE REQUIRED AT TIME OF INTERVIEW).
43. MAY REQUIRE OVER NIGHT OR EXTENDED TRAVEL.
PREFERRED
44. COMPLETION OF IIA (INSURANCE INSTITUTE OF AMERICA) OR OTHER INSURANCE COURSEWORK.
KNOWLEDGE OF
45. ESTIMATING WRITING PROGRAMS46.
COMPLETION OF ONE OR MORE OF AUTO PHYSICAL COURSES (IE VALE TECH, MOTORS INSURANCE CORPORATION/GENERAL MOTORS INSTITUTE) ABILITY TO
47. LIFT UP TO 25 POUNDS48.
CLIMB LADDERS49.
WALK ON ROOFS To apply, please visit our website at www.meemic.com under Careers@MEEMIC
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