Claims Representative - CAT team

Posted 2 Hours Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
80K-110K Annually
Senior level
Insurance • Software
The Role
The Claims Representative investigates claims related to property, auto, or general liability, evaluates coverage and damages, and ensures excellent customer service throughout the claims process.
Summary Generated by Built In

Acuity is seeking a Claims Representative to promptly investigate assigned claims to determine specifics surrounding a property, auto or general liability claim. This includes phone contact with involved parties, as well as obtaining information via phone, fax and e-mail from agents, doctors, attorneys and other external parties involved in the claim. The claims investigation and evaluation process includes determining coverage under the insurance policy, evaluating liability, assessing damages, and forecasting reserves. Throughout the claim handling process, best in class customer service is expected. Upon completion of the investigation, the Claims Representative will promptly settle meritorious claims within their authority.

Internal deadline to apply: April 8th, 2026

ESSENTIAL FUNCTIONS:

  • Experience using Xactimate or similar estimating software preferred.
  • Proactively investigate, evaluate and resolve assigned multi-line property and liability claims within multiple state venues.
  • Make timely and meaningful initial contact with parties involved in the claim, particularly claimants and insureds.
  • Accurately evaluate policy coverage by applying claim facts to the policy contract terms.
  • Consistently forecast reserves, by setting reserve initially with proper reserve coding and monitoring reserve adequacy throughout the course of the claim, consistent with Acuity’s reserve philosophy.
  • Thoroughly investigate assigned claims by conducting phone interviews, obtaining recorded statements, securing photos, and obtaining written reports and/or documents.
  • Maintain a personal follow-up task on all claim files to assure timely, proactive handling, efficient claim file organization, quality customer service, and proper management of pending claims.
  • Accurate and thorough claim file documentation, to consist of timely entry of activity log entries, claims system screen updates, and imaged documentation.
  • Identify potentially fraudulent claims and promptly refer suspect claims to the Special Investigations Unit (SIU).
  • Participate in internal claims phone queue as assigned.
  • Employ and manage outside vendor resources in a cost effective manner.
  • Utilize sound judgment and discretion with settlement authority to properly and effectively resolve claims through negotiation, settlement or denial.
  • Successfully manage litigation files according to company guidelines.
  • Periodically participate in off-hours storm claims duty as dictated by storm claims volume.
  • Maintain a positive, professional attitude.
  • Engage in claims educational opportunities, both in-house and external, as sponsored by management.
  • Always represent Acuity in a professional manner.
  • Complete a mandatory training program as determined by Acuity.
  • Regular and predictable attendance.
  • Perform other duties as assigned.

EDUCATION: 

College degree or equivalent relevant experience.

EXPERIENCE:

Customer service or insurance experience preferred. Five (5) years of property claims handling experience preferred.

OTHER QUALIFICATIONS:

  • Excellent written and verbal communication skills.
  • Strong organizational and time management skills.
  • Proficiency with current computer technology and claims systems.
  • Ability to work independently and collaboratively in a team environment.
  • Strong analytical and problem-solving skills.
  • Ability to provide consistent, high-quality customer service.
  • Bilingual skills are a plus.

*Acuity does not sponsor applicants for U.S. work authorization.*

This job is classified as exempt.

The salary range for this position is $80,000- $110,000 annually. This salary range is an estimate, and the actual salary will vary based on applicant’s education, experience, knowledge, skills, and abilities.

For this role, Acuity offers a comprehensive benefits package, including a generous 401(k) contribution, medical, dental, vision, life and disability insurance, paid time off, an Employee Assistance Program, and more. A full description of benefits and eligibility will be provided to candidates during the hiring process.

We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability and require reasonable accommodations to apply or during the interview process, please contact our Talent Acquisition team at [email protected]. Acuity is dedicated to offering reasonable accommodations during our recruitment process for qualified individuals.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Top Skills

Claims Systems
Computer Technology
Xactimate
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The Company
HQ: Sheboygan, Wisconsin
1,727 Employees
Year Founded: 1925

What We Do

Acuity Insurance is a leading provider of insurance solutions, delivering exceptional coverage and customer service to individuals and businesses in over 30 states. With over $3 billion in annual written premium, the insurer manages assets exceeding $8.5 billion. Headquartered in Sheboygan, Wisconsin, Acuity employs nearly 1,900 people.

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