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Claims Representative

Company: National General Insurance
Location: Alice
Posted on: January 16, 2022

Job Description:

Primary Purpose:Responsible for preparing and setting up claims with basic to moderate levels of complexity for future handling. Contact key stakeholders, interpret policy provisions, apply the policy language to individual claim losses, prepare letters regarding claim file status, review spreadsheet data and effect required actions as instructed by Management.Essential Duties and Responsibilities:Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  • Contact all parties involved in the claim to complete full investigation of the facts and damages relevant to the claim
  • Identify potential coverage issues and refer claims to management as needed
  • Determine liability and evaluate damages of all exposures related to the claim and document findings of investigation
  • Provide effective and timely communication to all internal and external stakeholders regarding claim status and other inquiries such as fraud and subrogation recovery
  • Evaluate and negotiate the resolution of claims within authority levels while mitigating damages to achieve cost effective claims outcomes
  • Support claims workflow efficiency by accurately documenting claim progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge
  • Utilize effective communication to understand the needs and goals of customers and actively look for ways to meet them
  • Mediate and resolve conflicts
  • Use multiple resources to gather and analyze significant data; identify relevant information and its impact
  • Leverage technical knowledge and established procedures to make cost-effective decisions
  • Assist others and participate on special projects as needed
  • Issue payments and extract data from claims system as required based on department need
  • Maintain integrity of claims portfolio and evidenceRequired Skills and Competencies: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.
    • High school diploma or general education degree (GED) required
    • Obtain/Maintain appropriate licensing or educational requirements (Resident Property/ Causality Adjuster license)
    • 2+ years of relevant experience
    • Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
    • Possess basic knowledge of Claim system software
    • Possess basic knowledge of Insurance Claims
    • Possess analytical skills
    • Ability to empathize with customers
    • Ability to manage one's own time
    • Complete tasks attentively and thoroughly with attention to detail
    • Ability to maintain a professional, poised and positive demeanorDesired Skills:
      • Possess knowledge in AS400 and other estimate software
      • Ability to speak Spanish
      • Basic knowledge of Mortgage industry
      • Bachelor's Degree or in-lieu of degree equivalent education, training and work-related experienceNational General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.
        About National General Holdings:National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!Companies and PartnersDirect General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:
        • Paid Training
        • Medical, Dental, Vision benefits
        • Wellness Programs
        • Life and Short/Long Term Disability Insurance
        • 401k w/ Company Match
        • Company Paid Holidays & Generous Time-off policy
        • Employee Discount Program
        • Career Advancement and Development Opportunities
        • On-site Healthcare Clinic (Winston-Salem and Cleveland offices)
        • On-site Fitness Center (Cleveland and Dallas offices)
        • Subsidized parking (Cleveland office)National General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

Keywords: National General Insurance, Corpus Christi , Claims Representative, Other , Alice, Texas

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