Job Summary

In this position, individuals will be integrated into the No Fault department and trained to adjust a pending of Automobile Casualty losses that will predominately include No-Fault and Medical Payment claims. Depending on departmental needs, with appropriate training / supervisory oversight, the individual may be required to handle claims from other lines of business. With appropriate training, there may be some exposure to litigation management and / or arbitration. The individual will be responsible for screening new losses to determine coverage exposures, thoroughly investigate liability, evaluate claim values, negotiate final disposition of claims with appropriate parties, and issue timely and accurate payments if appropriate. Frequent oral and written communication with medical providers, customers and attorneys are required and these contacts must be timely and professional. Strong telephone customer service skills and the ability to empathize with claimants and customers are needed. Individuals should possess a high level of initiative and demonstrate the ability to work both independently and in a team environment with high daily workloads in a fast paced environment. Strong business and decision making skills as well as the ability to maintain a high degree of confidentiality are required. Must possess basic knowledge of statutes & regulations that govern assigned jurisdictions .

Knowledge, Skills and Abilities

Education: Bachelor's Degree or professional level of knowledge in a specialized field, or equivalent, related experience.
Experience: 0 - 2 years - or Associates Degree equivalent plus 2 - 4 years.

Additional Knowledge, Skills and Abilities

- Guidewire Experience
- Prior claim adjusting, Contact Center claim service experience, or similar work experience preferred.
- One (1) year of Physical Damage claims adjusting or one (1) year Contact Center Claim Services with related claims, medical or legal experience preferred.
- Refers to and interprets policies and practices for guidance and accurate application. Highly organized.
- General knowledge of industry practices, standards, and concepts within field of work. Learns and applies them to perform work requiring analytical business skills.
- Ability to assimilate job responsibilities quickly and professionally.
- This position requires excellent written and oral communication skills and the demonstrated ability to organize and prioritize work to assure productivity goals of managing a pending are met.
- Strong telephone customer service skills and the ability to empathize is needed.
- Must possess basic CRT / PC skills with accurate keyboarding abilities.
- Must possess good math skills and be able to work in a fast paced environment.
- Insurance Industry Education desirable.
- Completion of the Claims training program is required.

If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at talentacquisition@mapfreusa.com .

We are proud to be an equal opportunity employer.