Also referred to as: Claim Representative III
Requirements and Responsibilities

Insurance Claim Service Representative III processes, adjusts, and closes claims of 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 III 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 III may handle claims for bodily injury and third-party loss. Requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Insurance Claim Service Representative III works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be an Insurance Claim Service Representative III typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification.

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