CSR Claims

Western Reserve Group
Wooster, OH Full Time
POSTED ON 6/24/2024 CLOSED ON 7/25/2024

What are the responsibilities and job description for the CSR Claims position at Western Reserve Group?

This position will provide support for activities associated with the handling of the claim file. These activities include, but are not limited to; computer input, check issuance, all correspondence, telephone messages, processing reserve changes, and many other miscellaneous items. It contributes to expense management by increasing productivity, utilizing technology and improving workflows. This position is responsible for workflow tracking, quality control, training, CSR procedural support and the fostering of team, departmental and company relationships and promoting positive agency relations.
Salary Grade (4)  15.52 - 19.40 - 23.27

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Make payments, increase/decrease reserves as needed within assigned authority level.

Performs daily work tasks in several areas of the department such as property, casualty, legal and/or subrogation.

Basic understanding of WRG’s software programs and ability to handle inquiries from internal and external customers.

Troubleshoot and report problems that result from processing errors to immediate Supervisor.

Communicate via telephone, fax, electronic and written correspondence with agency, team, departmental and other Company personnel in a courteous and professional manner.

Work closely with Adjusters and their respective Managers to achieve departmental service standards.

Assist with or complete other tasks or special projects as assigned.

Process incoming and outgoing mail.

Transcribe recorded statements accurately.

Assist/back-up receptionist

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

1 years previous related work experience preferred

Introductory education courses will be required if no prior Insurance experience

Excellent verbal and written communication skills

Ability to handle multiple tasks in a changing work environment

Excellent PC and Data Entry skills

Ambitious and self-motivated

Exceptional interpersonal communication skills

Strong prioritization and organizational skills

Strong critical thinking skills

Ability to think “Outside the Box”

LANGUAGE SKILLS

The individual must be able to effectively and clearly communicate with internal and external customers via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a highly professional manner.

REASONING ABILITY

The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.

CERTIFICATES, LICENSES, REGISTRATIONS

None required

Additional insurance course work and seminars/webinars are recommended

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Employees are required to perform various PC functions at a workstation. Additionally, the employee is required to devote substantial time to telephone communication.

The employee may be required to stand, walk, reach with hands and arms and bend or squat, to perform various functions. The employee is required to lift up to 45 pounds. You may be required to perform these duties one or more days per week.

Employees may be required to travel from time to time. This may require extended periods of time sitting in a vehicle.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee will be assigned a work cubicle or an individual work area. The work area has the necessary equipment to perform the position duties including personal computer, telephone, file space, and needed worktable space.

The environment is reasonably quiet with needed interaction between other team members, immediate supervisor, and other company staff. Moderate noise level from telephone calls and miscellaneous office functions are expected.

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