Senior Claims Resolution Specialist

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2 Locations
In-Office
55K-88K Annually
Insurance
The Role

The salary range for this job posting is $55,132.00 - $88,210.00 annually + bonus + benefits. Pay Type: Salary

The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.

Encova Insurance has an immediate opening for a Senior Claims Resolution Specialist. This is a home-based opening but you must reside in one of our payroll eligible states listed on our careers page.

Are you a Referral?

If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.

Unique residence requirements are listed in each job posting, please review closely for details.

Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:

Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.

JOB OBJECTIVE:

Investigate, evaluate, negotiate and settle casualty claims and any related coverages within established best practices and applicable jurisdictional guidelines.  

ESSENTIAL FUNCTIONS: 

  • Investigate, evaluate, settle and process claims primarily on the phone with limited in-person contact.
  • Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowners liability and commercial liability coverages.  Claims will generally range from low to moderate severity and may involve disability, wage loss and hospital treatment.
  • Handle automobile physical damage claims in conjunction with material damage appraisers.
  • Provide limited handling for personal lines lawsuits as requested.
  • Comply with the claims organization’s policies, established best practices and jurisdictional guidelines.  
  • Comply with practices and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, and determination of claims values, completion of forms and reports, negotiation and settlement of claims.
  • Comply with all state Fair Claims Practices acts and obtain state licensing as required.
  • Maintain competency in the use of multiple claims systems and manage efficient and effective follow-up practices.
  • Effectively investigate and close a minimum average of 70 losses per month.

OTHER FUNCTIONS: 

  • Maintain an ongoing understanding of claims processes, procedures and systems, and keep current on fair claims practices laws, compliance issues, and business-related developments.
  • Make limited outside contacts at the discretion of the casualty team lead.
  • Perform other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

  • The candidate must have previous experience as a Claims Resolution Specialist or its equivalent in the industry.
  • Due to the complexity of the work performed and the frequency of customer contact, experience in successfully working with customers is strongly desirable.
  • Experience may be achieved in part or in full through the following: Sales experience, public service experience (e.g., police, social work) and/or other professional-level business experience.
  • Continuing education during the first two years of employment is preferred and may be obtained through the following: In-house claims training classes, The Institutes (Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.
  • This position requires excellent knowledge of all company personal lines, commercial auto and commercial garage policies and coverages. 
  • The individual must understand tort law, be familiar with medical terms and treatments, and be able to effectively negotiate settlements. 
  • Must have the ability to analyze uncomplicated auto damage repair estimates, and understand and negotiate total loss evaluations.
  • Demonstrate the skills and abilities listed in the Claims Resolution Specialist job description.
  • A college degree and the ability to read, write and speak fluent Spanish are strongly desired

This position has been evaluated in accordance with the Americans with Disabilities Act.  Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it.  This description reflects the nature and level of work performed by associates in this position.  It is not an all-inclusive inventory of duties, responsibilities and qualifications required.  It provides an accurate overview of the work and skills needed to perform this position.  Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.

Ready to join our team?
At Encova Insurance, we firmly believe that our associates drive our company’s success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities.
Join us to discover a work experience where your diverse ideas will be met with enthusiasm – where you can learn and grow to your fullest potential.

What you can expect from us
Join our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to: a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday. Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations.
Encova Insurance is an EOE/E-Verify employer.

Encova Insurance Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Encova Insurance and has not been reviewed or approved by Encova Insurance.

  • Healthcare Strength Medical, dental, and vision coverage is described as comprehensive, with preventive services covered at 100%. The overall package is often considered good or in line, which supports total compensation perceptions.
  • Retirement Support A 401(k) plan is offered, with mentions of a notable employer match. Retirement benefits are viewed as a strong component that enhances overall rewards.
  • Wellbeing & Lifestyle Benefits A wellness program offers premium discounts and access to resources such as a 24/7 HQ gym, instructor-led classes, and partial gym reimbursement. These lifestyle offerings help reinforce the perceived value of the total package.

Encova Insurance Insights

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The Company
HQ: Columbus, OH
669 Employees

What We Do

Encova Insurance provides commercial insurance, including workers’ compensation, as well as auto, home and life insurance. A super-regional carrier ranked in the top 20 mutual insurance companies in the United States, Encova includes more than 1,200 associates writing in 28 states and the District of Columbia, premiums in excess of $1 billion, a surplus in excess of $1.46 billion and assets in excess of $4.1 billion. The group markets insurance solutions through more than 2,000 independent agencies in the Midwest, Northeast and South.

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