Auto/Property Claims Representative

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Review claims reports, assess benefits owed, and ensure timely payments and adjustments.

• Oversee first-party property, casualty, and/or medical reimbursement claims in alignment with client-specific coverage and programs.

• Make coverage decisions based on thorough investigation and evaluation.

• Communicate claim actions effectively with claimants and clients.

• Adjudicate appropriate settlements within the designated authority level.

• Collaborate directly with underwriters and clients on high-value and complex cases.

• Manage a large volume of claims, phone calls, and correspondence.

• Accurately document all claim files.

• Achieve quality, production, customer guideline, and deadline standards.

• Conduct thorough reviews of contested claims.

• Coordinate investigative efforts efficiently.

• Negotiate claim settlements up to the designated authority level.

• Deliver exceptional customer service.

• Contribute to the organization's quality programs.

• Perform additional duties as assigned.

⛳️ Requirements

• Valid Property & Casualty Adjuster License for states where required.

• Preference for multiple state adjuster licenses.

• Proven experience managing ongoing property claims within a structured claims environment.

• Preferred background in desk-adjusting or staff-adjusting roles over an extended period.

• Experience overseeing claims throughout the entire claim lifecycle.

• Proven ability to maintain productivity standards and operate within established processes.

• Bachelor's degree from an accredited institution is preferred.

• Professional certification relevant to the line of business is preferred.

• Minimum of three (3) years of claims management experience or a combination of experience and education is required.

• Comprehensive knowledge of first-party property and casualty claim adjudication.

• Strong oral and written communication skills, including presentation capabilities.

• Proficient in PC operations, including Microsoft Office applications.

• Exceptional analytical and interpretive abilities.

• Outstanding organizational skills.

• Strong interpersonal skills.

• Ability to collaborate effectively within a team environment.

• Capacity to meet or surpass Performance Competencies.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) with matching contributions.

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance program.

• Flexible spending account or health savings account.

• Additional voluntary benefits.

• Reasonable accommodations.

• Work-life balance.