Claims Associate

Advises insureds/claimants of claims process; handles minor, non-questionable liability claims as assigned by the supervisor; may authorize rental cars and do closing work on total losses; may handle minor coverage issues and resolve minor complaints which arise during claims handling process. Assists Claims Representative in obtaining loss and claims value documentation. May handle subrogation and PIP/Med pay claims as well as prepare automated claims evaluations (Xactimate, Pathfinder, etc.). May also perform a variety of clerical duties as assigned by the immediate supervisor or manager which could include handling mail, phone calls, filing, claims coding, processing and statistical responsibilities. Makes initial contact with insureds and claimants to verify claims information and advise them of the claims process. May arrange drive-in and field appointments. Obtains signed medical and investigation authorizations. Obtains police and fire reports. Handles minor, undisputed claims on instruction from supervisor. Authorizes rental cars on instruction from claims representative or when liability and coverage are not questioned. Within payment authority, may authorize supplements. Controls diary of all new liability claims for submission to supervisor. Obtains medical reports from attending physicians or attorneys if claimant is represented; makes appointments for independent medical examinations; and compares treatment rendered with injuries described on loss report. Contacts medical service facilities regarding bills to determine if they are reasonable and related to the loss. Obtains loss reports from agents, insureds, and claimants and enters into FACTS. Makes assignments under the direction of the CSC/BCO management. Responds to telephone and written inquiries regarding status of claims assigned. Keys information into F.A.C.T.S. system. Opens and prepares files. May handle PIP/Med Pay claims and/or subrogation files. Inputs and/or computes estimates and inventories on instruction from claims representatives; prepares "Insured Payment Authorizations." May also perform a variety of clerical duties as assigned by the immediate supervisor or manager which could include handling mail, phone calls, filing, claims coding, processing and statistical responsibilities.

Performs other duties as assigned
REQUIREMENTS
Education Requirement:
High school diploma or equivalent.
Experience and Special Skills Requirements:
External candidates should have five years of prior claims or related industry experience.