Also referred to as: Claim Representative II
Requirements and Responsibilities

Insurance Claim Service Representative II processes, adjusts, and closes claims of low to moderate complexity in a contact center setting. Prepares initial claim reports, records statements from involved parties, and maintains First Notice of Loss (FNOL) information. Being an Insurance Claim Service Representative II negotiates settlements within approved limits. Does not handle claims requiring outside field adjustment and refers complex claims to designated experts. Additionally, Insurance Claim Service Representative II requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Insurance Claim Service Representative II works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Insurance Claim Service Representative II typically requires 1-3 years of related experience, or may need 0 years of experience with additional specialized training and/or certification.

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