Claims Specialist

• Provide a high-quality customer service experience characterized by educating customers, keeping customers informed of next steps and answering customer questions.
• Maintain a compassionate and empathetic approach when interacting with claimants, ensuring their concerns are heard and addressed with professionalism and care.
• Review claim information to determine steps needed to complete the settlement of a claim.
• Initiate and complete claim settlement transactions.
• Actively engage in an inclusive team environment by providing guidance to other team members, participating in team meetings and team projects.
• Continuous improvement is a focus.
• Follow documented department claim procedures and requirements defined by claims good faith claim handling guidelines.
• Document phone calls and claim information accurately and proficiently.
• Identify opportunities to improve team performance and contribute to process enhancements.
• May be required to obtain and maintain relevant examinations and licensing.

Lending Claims Specialist, Level II

• Investigate and resolve claims within assigned authority
• Determine coverage and liability
• Negotiate settlements with insureds, claimants, and attorneys
• Maintain accurate documentation and reserving
• Communicate promptly and professionally with all stakeholders
• Collaborate with internal teams and external partners
• Adhere to audit and compliance standards
• Participate in training and team initiatives

Senior Claims Representative

• Complete field inspections, reviews and adjustments accurately and efficiently to administer crop insurance policies.
• Ensure compliance with insurance statutes and regulations to apply crop policies cost-effectively.
• Build and maintain customer relationships through timely and accurate policy service.
• Document and process loss information accurately to assess potential damages.
• Participate in quality control tasks, audits, risk assessments, and field reviews.
• Contribute to a positive work environment by demonstrating cultural expectations and influencing others positively.
• Support business objectives through quality control tasks, audits, and risk assessments.

Senior Claims Adjuster – Crop

• Gain knowledge to verify coverage, compensability, and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim.
• Develop investigative claims skills by taking and reviewing recorded statements from involved parties and witnesses, reviewing police reports, and other pertinent evidence.
• Build knowledge to evaluate claims exposure appropriately, establishing timely reserves.
• Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
• Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, ongoing claim status, and decisions, including the reasoning behind them.
• Ability to obtain and maintain state licensing requirements.

Claims Representative, Entry Level – Fast Track

• Review, analyze and process claims, adjustments, coordination of benefits and refunds on routine life or health claims
• Accurate entry of codes and data to applicable system
• Respond to general inquiries by agents, policyholders, and providers concerning policy coverage and other related information

• Analyze reported lower-level workers compensation claims to determine benefits due
• Ensure ongoing adjudication of claims within company standards and industry best practices
• Handle lower-level liability and/or physical damage claims under close supervision
• Support other claims representatives, examiners and leads with larger or more complex claims as necessary
• Process general liability claims determining compensability and benefits due
• Communicate claim action/processing with claimant, client and appropriate medical contact
• Ensure claim files are properly documented and claims coding is correct
• Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims
• Maintain professional client relationships

Liability Claims Associate

• Gain knowledge to verify coverage, compensability, and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim
• Develop investigative claims skills by taking and reviewing recorded statements from involved parties and witnesses, reviewing police reports, and other pertinent evidence
• Build knowledge to evaluate claims exposure appropriately, establishing timely reserves
• Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim
• Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, ongoing claim status, and decisions, including the reasoning behind them

Claims Representative – Entry Level

• Responsible for end‑to‑end management of complex property damage claims, from investigation through resolution, ensuring accurate liability assessment and timely outcomes.
• Oversees reserve strategy, settlement negotiations, payments, and statutory filings while maintaining compliance with authority levels and regulatory requirements.
• Manages litigation, vendor partnerships, excess carrier reporting, and recovery efforts to drive cost‑effective claim resolution.
• Serves as a primary point of contact for claimants and clients, maintaining clear communication, strong relationships, and well‑documented claim files.
• Collaborates with leadership to escalate complex matters appropriately and support strategic claim handling decisions.
• Ensures adherence to internal quality standards, regulatory compliance, and best practices while contributing to continuous improvement initiatives.

Claims Examiner – Liability, Property Damage, Licensing: Reciprocal Required, Jurisdiction: Multi State

• Investigating, evaluating, and settling auto physical damage claims within assigned territory
• Conducting timely and thorough investigations
• Verifying applicable coverages
• Analyzing potential exposure and deductible
• Estimating damages and evaluating for reserve and settlement
• Resolving claims through effective negotiation, settling and/or denial
• Maintaining relationships with underwriting, risk control, marketing and the independent agency force
• Participating in continuing educational programs

Claims Representative I – APD

• Examining and appropriately interpreting insureds’ policies, forms in force, and other records to determine coverage and extent of the company’s exposure and policy limitations
• Applying knowledge of multiple state statutes, including the insurance code of ethics, rules, regulations, and guidelines
• Desk reviewing, drafting, adjusting, and approving estimates of damage and loss amounts for structural damages, mitigation, remediation, etc
• Using varying methods of investigation, including taking recorded statements, consulting with experts, identifying property damage, and reviewing documentation
• Keeping active communication and working with customers, their representatives, contractors, and experts throughout the Claims process from first notice of the claim through repair completion
• Working with public adjusters and attorneys that may represent the insured(s) and responding to all notices and letters in accordance with state guidelines

Senior Claims Adjuster, Large Loss

• Processes lower level product liability claims by gathering information to determine liability exposure; assign reserve values to claims, determines risk transfer (tender opportunities); settle claims up to designated authority level; make claim payments as necessary.
• Develops and coordinates lower value product liability claims; prepares action plans pursuant to the claim or client contract.
• Negotiates settlements within designated settlement authority.
• Administers subrogation of claims.
• Communicates claim action with claimant and client.
• Ensures claim files are timely handled; properly documented; and claims coding is correct.
• Maintains professional client relationships.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Claims Representative – General & Product Liability, Multi State Jurisdiction

• Process low level general liability claims to determine benefits due;
• Ensure ongoing adjudication of claims within company standards and industry best practices;
• Identify subrogation of claims and negotiate settlements with general supervision.
• Processes low level general liability claims by gathering information to determine liability exposure;
• Assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Claims Representative – Liability, General Liability, Licensing: Reciprocal Preferred

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Claims Specialist II

• Under general supervision, provide financial, administrative and clerical services related to Customer Claims functions to ensure effective, efficient and accurate financial and administrative operations while complying with established policies and procedures
• Responsible for gathering, researching, and accessing relevant documentation to support account specific claims/deduction data in an accurate and timely manner.
• Responsible for resolving and settling claims within established corporate policies, procedures and practices in an accurately and timely manner.
• Responsible for monitoring data for approved customer spending programs and direct payment. Flag and report any inconsistencies to management.
• Analyze and process customer post audits for assigned accounts. This includes validation by using a variety of software application and resources to substantiate findings.
• Responsible to calculate and process program rebates on a monthly, quarterly and/or annual basis for assigned accounts and end user contracts, ensuring payments are accurate and paid within established turnaround time.
• Communicate customer driven behaviors and trends causing increased claims activities and invalid deduction.
• Continually provide feedback to improve policies, practices and procedures.
• May serve as a resource to assist other team members by cross-training, answering questions, providing solutions, and/or serving as back up as needed.

Claims Coordinator I

• Investigating, evaluating, negotiating, and settling workers compensation claims on behalf of clients.
• Communicating with a wide variety of individuals, including CEO's, claimants, providers offices, and attorneys.
• Handling claims in multiple jurisdictions.

Workers Compensation Claims Adjuster, Midwest Experience

• Investigate, evaluate, and settle entry-level insurance claims
• Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
• Learn and comply with Company claim handling procedures
• Develop entry-level claim negotiation and settlement skills
• Build skills to effectively serve the needs of agents, insureds, and others
• Meet and communicate with claimants, legal counsel, and third-parties
• Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
• Study, obtain, and maintain an adjuster’s license(s), if required by statute within the timeline established by the Company or legal requirements

Branch Claims Representative

• Handle work comp claims with minimal supervision and guidance from the manager.
• Utilize current Claims technology.
• Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability.
• Negotiate settlements with insureds, claimants and attorneys.
• Responsibilities also include active file management, ensuring proper reserving, participation in training activities, presentation of claims to Committee and supervision of litigated files.
• Serve as a mentor for others in the team or department.
• Consistently exhibit a high level of customer service and adherence to department audit guidelines.

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