Material Damage Claims Examiner II

Grow your Career with CSE Insurance Group!

We are currently seeking Material Damage Claims Examiners II to join our Claims team. Our team members play an integral role in the innovation and growth of our organization.

Join CSE and be part of the excitement. You'll love our stuff!

JOB SUMMARY:

The Material Damage Claims Examiner II will compile information derived from correspondence with claimant, witnesses and medical specialists. Will negotiate the settlement of claims, calculate and authorize payment of claim settlements in accordance with policy and coverage. Will investigate and analyze insurance claims to determine extent of insurance company's liability.

ESSENTIAL FUNCTIONS/PRINCIPAL RESPONSIBILITIES:

  • Examine assigned claim files, insurance policies and other documents to determine coverage applicable to a loss. Present cases to the Coverage and Evaluation Committees.
  • Ensure that all claims activities (i.e. investigations, evaluations, and settlements) are in accordance with corporate claims policies and procedures.
  • Determine liability through statements, analyzing scene, reviewing police reports, examine vehicle damages, and understand the Rule of the Road.
  • Negotiate resolutions directly with insureds, claimants, and attorneys within a given authority.
  • Recognize and pursue subrogation opportunities.
  • Organized and efficient while handling a large volume of incoming claims
  • Handle rental assignments and review vehicle damage estimates.
  • Resolve minor injury claims as needed.
  • Perform other duties as assigned.

KNOWLEDGE, SKILLS, AND BEHAVIORS:

  • Must have working knowledge of insurance contracts, Unfair Claims Settlement Practices, legal decisions affecting claims operations, Claims Plan, Claims Handling Procedures Manual and corporate claims policies and procedures.
  • Must have strong skills in negotiation and conflict resolution.
  • Must have excellent communication skills. Balances listening and talking, speaking and writing clearly and accurately, influencing others and keeping others informed.
  • Must have strong time management skills with the ability to prioritize and meet scheduled deadlines.
  • Must be able to function under a heavy volume of work and to make independent decisions.
  • Proactive in dealing with customers and takes ownership and responsibility for driving issues to resolution
  • Ability to work in a fast paced and agile environment
  • Achieves a standard of excellence with work processes and outcomes, honoring company policies and regulatory compliance.
  • Team oriented, building strong working relationships and a positive work environment.
  • Is receptive to feedback and willing to learn, embracing continuous improvement.

REQUIRED EDUCATION, WORK EXPERIENCE, LICENSES & CERTIFICATIONS

  • Bachelor's degree
  • 2-4 years of experience in MD claims handling

COMPANY BENEFITS

At CSE, we offer a competitive benefits package (to include profit sharing and 401K match) complemented by work-life balance programs to support our employees.

Who We Are

CSE Insurance Group is a multi-line provider of personal, commercial property and casualty insurance recognized for its fairness, integrity and exceptional service.

A community of good people define our company

CSE Insurance Group is a local company. Our community is your community. Being good people defines us and the agents that represent our products.

What We Do

Protect with well-made insurance, delight with exception service

Our customers deserve exceptional service and well made, high-quality insurance at a reasonable cost. They should feel positive about the protection CSE insurance provides.

How We Think

Create confidence in our customer's mind everyday

Every time we connect with you is an opportunity to express our purpose — to exemplify the integrity we demand of ourselves and our company.


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