Insurance Claims Representative jobs in Plymouth, NC

Primary Purpose:

This position is responsible for filing the first notice of loss of commercial lines members via phone or email and report them to the appropriate insurance carrier promptly and accurately. This position serves as a liaison between the member and the insurance company throughout the claims process and ensures the claim moves toward closure as efficiently as possible.

Essential Responsibilities:

• Provide exceptional customer service to our members for multiple lines of business.
• Expedite the claims process and provide detailed claim notes on all calls.
• Direct issues with callers to the appropriate escalation paths.
• Take new client loss reports and submit them to the appropriate carrier.
• Transmit information/documents to insurance carriers and clients promptly.
• Obtain claim number and adjuster information and provide it to Towne members.
• Document claim files and maintain work control through a diary system, keeping accurate records of member/carrier interactions.
• Keep risk advisors abreast of any large loss claims.
• Update payments and reserve numbers as necessary.
• Handle incoming calls from members, claimants, and carriers regarding questions and problems associated with claims.
• Manage incoming claim mail.
• Research coverage and coordinate coverage discussions with risk advisors and carriers.
• Mentor/Work closely with other Commercial Lines Claims Advocates.
• Other duties as required by management.
• Obeys all applicable federal laws, rules, and regulations relating to Anti-Money Laundering (AML), including the Bank Secrecy Act (BSA).

Minimum Required Skills & Competencies:

• Prior experience filing claims, maintaining a diary system, and managing claim mail.
• Working knowledge/proficiency with carrier websites.
• Experienced in Microsoft Office Suite, including Word, PPT, and Excel.
• Strong verbal and written communication skills.
• Ability to work well independently and as part of a team.
• Strong attention to detail.

Desired Skills & Competencies:

• Two years’ experience as a Commercial Claims Adjuster.
• Property and Casualty insurance designation(s) such as INS or AIC.
• Property and Casualty License or ability to obtain it within 30- 60 days of hire.

Physical Requirements:

• Express or exchange ideas by means of the spoken word via email and verbally.
• Exert up to 10 pounds of force occasionally, use your arms and legs, and sit most of the time.
• Have close visual acuity to perform activities such as analyzing data, viewing a computer terminal, reading, and preparing documentation.
• Not substantially exposed to adverse environmental conditions.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential responsibilities.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)