Insurance Claims Representative Job Description Template Word
Are you looking for a comprehensive and customizable job description template for an insurance claims representative? Look no further than our Insurance Claims Representative Job Description Template Word product.
This template is designed to help you create a job description that accurately reflects the responsibilities and requirements of an insurance claims representative. It includes sections for job summary, essential duties and responsibilities, qualifications, education and experience, and physical demands.
With this template, you can easily tailor the job description to your specific needs and requirements. You can add or remove duties and responsibilities, adjust the qualifications and experience requirements, and include any other information that is relevant to your organization.
Using our Insurance Claims Representative Job Description Template Word product can save you time and effort in creating a job description from scratch. It is also a great tool for ensuring that your job descriptions are consistent and compliant with legal and regulatory requirements.
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INSURANCE CLAIMS REPRESENTATIVE SUMMARY OF FUNCTIONS
Investigates claims for personal, casualty, or property loss or damages; determines the extent of the insurance company’s liability; and tries to negotiate an out-of-court settlement with the client.
INSURANCE CLAIMS REPRESENTATIVE ESSENTIAL DUTIES AND RESPONSIBILITIES
- Quickly and effectively investigates claims, negotiates equitable settlements and authorizes prompt payments to policyholders.
- Reviews insurance forms for accuracy and completeness. Calls or writes to the insured party or others involved to secure missing information.
- Reviews the claim file and the insurance policy to determine coverage. Transmits routine claims for payment; informs claims supervisor of those claims needing further investigation.
- Investigates claims as necessary, through use of physical evidence, securing testimony from relevant parties, and examining reports.
- Promptly negotiates settlements, making sure that the settlement reflects the actual claimant losses while also being certain that the insurer is protected from invalid claims.
- Attends court hearings if litigation becomes necessary.
ORGANIZATIONAL RELATIONSHIPS
Reports directly to Claims Supervisor. Works with Insurance Agents, clients, other insurance companies to resolve claims.
INSURANCE CLAIMS REPRESENTATIVE QUALIFICATIONS
A bachelor’s degree in business administration or suitable field of study is required. Coursework in insurance studies is a plus, as is claims handling experience. Good grammar and written/oral communication skills are required. Familiarity with word processing and spreadsheet applications (e.g., MS-Office) is also required. Experience with claims processing software is desired.
INSURANCE CLAIMS REPRESENTATIVE PHYSICAL DEMANDS
Automobile travel to customer sites is required (about 50%). Must be able to communicate orally with customers, management, and other co-workers, both individually and in front of a group. Regular use of the telephone and e-mail for communication is essential.
Sitting for extended periods is common. Hearing and vision within normal ranges is essential for normal conversations, to receive ordinary information and to prepare or inspect documents.
No heavy lifting is expected. Exertion of up to 20 lbs. of force occasionally may be required. Good manual dexterity required to use common office equipment (computer, mobile device, calculator, copier/scanner, fax machine, etc.
Good reasoning, organizational, and time management skills are required to solve a wide range of business problems. Must also be able to understand and utilize insurance and financial reports and legal documents to conduct business.
WORK ENVIRONMENT
The job is performed indoors in a traditional office setting, at claimants’ sites, in auto, etc. Activities include extended periods of sitting (at office, in auto) and extensive work with computers, mobile devices, and other productivity tools.
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