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Berkley Workers' Compensation Claims Representative in Rocky Hill, Connecticut

Acadia Insurance specializes in commercial property casualty insurance. Our company began in 1992 insuring businesses in Maine. Today we offer insurance programs for small and midsize businesses throughout New England and New York State with local offices in Connecticut, Maine, Massachusetts, New Hampshire, New York and Vermont.

Investigate, evaluate and resolve assigned claims in accordance with company standards, procedures, and state regulatory requirements.

Claims Representative

  • Perform investigations in a timely and thorough manner to ensure accurate decisions on coverage, compensability, liability, and damage issues affecting claim resolutions.

  • Effectively negotiate with insureds, third-parties and claimants listening carefully to their demands and using an objective approach to resolve the claim fairly.

  • Control file-related expenses through efficient utilization and monitoring of "outside" vendors.

  • Inform other departments of positive/negative conditions noted during investigations which may impact company results.

  • Manage existing workloads effectively to achieve quality and quantity production goals while providing superior customer service.

  • Assist in the training and development of claim personnel as needed.

  • Participate in special account reviews and present agents and insureds with recommendations for improving their loss ratio and information on best practices.

Claims Representative II

  • In addition to the items listed above, this role will:

  • Steadily increase complexity and proficiency including more complex coverage and/or compensability disputes, contractual risk transfer, liability/subrogation investigations, negotiations, and strategic resolution practices. Engage appropriately with agents and insureds in increasingly complex discussions and capable of leading synergy meetings.

  • In addition to demonstrating increased proficiency with systems and workflows, actively engage in roundtable discussions, Synergy meetings and on-site investigations.

  • Possess understanding of litigation competencies.

Claims Representative

Bachelor's degree (B. A.) and minimum one year of related experience and/or training; or equivalent combination of education and experience.

Claims Representative II

Bachelor's degree (B. A.) and minimum three years of related experience and/or training; or equivalent combination of education and experience.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

REASONING ABILITY

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

CERTIFICATES, LICENSES, REGISTRATIONS

Valid Driver's license and Adjuster's license in certain states.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently exposed to outside weather conditions. The employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes or airborne particles; toxic or caustic chemicals; extreme cold; extreme heat; risk of electrical shock; risk of radiation; and vibration. The noise level in the work environment is usually moderate.

Management has the right to review this job description at any time. The job description is not a contract for employment, and either you or the employer may terminate employment at any time, for any reason.

Job ID: 2020-4211

External Company Name: Berkley

Street: 500 Enterprise Drive

Industry:

Insurance

Seniority Level:

Associate

Job Functions:

Customer Service

Employment Type:

Full-Time

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