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Commercial Lines Claims Specialist I

Alternate Locations:

CT - Meriden

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General Description:  Assist in claim administration functions for clients of the business.

Responsibilities:

  • Basic knowledge of claims function and processes.
  • Ability to effectively communicate with internal and external customers and adjusters.
  • Basic understanding of at least one line of coverage relative to claims management, strategies, resolution techniques and coverage forms.
  • Basic technical/administrative capability to report basic claims and use basic features of carrier/TPA claim management systems.
  • Participates in claim advocacy and negotiation, including claim denial review, reservation of rights review, and claim reporting.
  • Assists in analyzing claims based on a best practice outline and partners with members of the technical resource team.

Knowledge, Skills and Abilities:

·         Strong written and oral communication skills.

·         Ability to work well in a team environment.

·         Must have a capacity for analytical thinking and strong problem-solving skills.

·         Strong organizational skills required.

·         Entry-level negotiation skills required.

·         Ideal candidate will have a minimum of one year of claims administration experience.

·         College degree preferred but high school diploma or graduate equivalent degree required.

·         Proficient in MS Office suite of products.

Physical Demands:

Work is performed in a climate controlled office environment with minimal noise and limited to no exposure to chemicals or toxins.  Employees operate office equipment including; telephone - headset, Computer, computer monitors, keyboard, mouse, copier, scanner and mail machine.  Physical tasks of job include; walking, sitting, standing and bending.

Analysis of Physical Demands:

·         Constantly (over 66% of time) work performed requires employees to use repetitive hand motions such as typing, using a keyboard, and sitting at a desk.

·         Frequently (34%-66% of time) work performed requires employees to handle and grasp things, walk on normal surfaces, stand and bend.

·         Occasionally (1%-33% of time) work performed requires employees to drive to client appointments, have repetitive foot movements, walk on uneven or slippery surfaces to and from work and occasionally reach outward to grab things and bend.

·         Rarely  (< than 1 hour per week) work performed  requires Lifting/Carrying  items that range from 10-50lbs, pushing/pulling  items that range from 10-50lbs,  twisting/ turning including reaching over shoulder or above head , kneeling or squatting.

Job ID:

21053

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