ProSight Specialty Insurance

  • Claims Representative

    Job Locations US-NJ-Morristown
    Posted Date 5 months ago(7/12/2018 12:57 PM)
    Job ID
    2018-1881
    # of Openings
    1
    Category
    Claims
  • Overview

    As a Claims Representative, you're at the heart of the Claim’s business operations. You use your extensive knowledge base to balance the needs of ProSight’s customers and business. You are a top performer with excellent investigation, organizational and analytical skills. You understand just how important this role is to the function of ProSight’s overall business and this is what encourages you to bring your a-game every day. In addition to being organized and analytical, you possess the strong business judgment and have the communication skills needed to interact with a variety of people in different situations. You thrive in our fast-paced environment, embrace challenges and are flexible enough to be successful in a dynamic and growing organization.  

    Responsibilities

    • Handles assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
    • Generally the claims assigned will be low to moderate level non-injury type claims. Assigned claims may involve coverage interpretation and litigation.
    • Prepares appropriate coverage letters with some supervision when appropriate.
    • Completes an investigation on each claim in a timely manner and fully documents the claim file with claim details.
    • Sets accurate reserves on each claim within given authority level and promptly brings claims that will require reserves in excess of their authority to their supervisor’s attention.
    • Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention.
    • Closely works with defense counsel to ensure proactive handling on any litigated matters.
    • Meets with members of other departments to discuss specific claim details or general claims issues.
    • May be designated as claims contact for key accounts and programs in which case the Claims. Representative will perform various account or program management tasks including:
      1. Preparing for and attending claim reviews.
      2. Analyzing claims data and meeting with members of other departments to discuss the account status.
      3. Meeting with and making presentations to account or program representatives.
    • Maintains adjuster licenses in states as required.
    • May be called upon to perform other tasks and duties within the claims department as dictated by business needs.

    Qualifications

    • 1+ years’ experience handling claims preferred
    • Bachelor’s degree preferred
    • Prior P&C insurance experience is a plus
    • Solid planning & organizational skills including time-management and prioritization
    • Analytical skills to identify, gather, and organize information
    • Customer focused attitude and skills to resolve inquiries quickly and effectively
    • Strong verbal & written communication skills

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